| Odyssey House Louisiana Inc | |
|
1125 N. Tonti St. C/o Community Medical Clinic New Orleans LA 70119 | |
| (504) 383-8559 | |
| Not Available |
| Full Name | Odyssey House Louisiana Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1125 N. Tonti St., New Orleans, Louisiana |
| Authorized Official Name and Position | Edward Carlson (CEO) |
| Authorized Official Contact | 5043838559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey House Louisiana Inc 1125 N Tonti St C/o Community Clinic New Orleans LA 70119-3549 Ph: (504) 383-8559 | Odyssey House Louisiana Inc 1125 N. Tonti St. C/o Community Medical Clinic New Orleans LA 70119 Ph: (504) 383-8559 |
| NPI Number | 1932578408 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 5294917928 |
|---|---|
| Medicare Enrollment ID | O20160210000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932578408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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