| United States Coast Guard | |
|
13800 Old Gentilly Rd New Orleans LA 70129-2218 | |
| (504) 253-6506 | |
| Not Available |
| Full Name | United States Coast Guard |
|---|---|
| Speciality | Clinic/center |
| Location | 13800 Old Gentilly Rd, New Orleans, Louisiana |
| Authorized Official Name and Position | Jamie L Adams (HS3) |
| Authorized Official Contact | 9182302220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United States Coast Guard 13800 Old Gentilly Rd New Orleans LA 70129-2218 Ph: () - | United States Coast Guard 13800 Old Gentilly Rd New Orleans LA 70129-2218 Ph: (504) 253-6506 |
| NPI Number | 1770758245 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770758245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1780742049 (Louisiana) | Primary |
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