| Cohen College Prep High School Sbhc | |
|
3520 Dryades St New Orleans LA 70115-5331 | |
| (985) 307-1600 | |
| (504) 575-3691 |
| Full Name | Cohen College Prep High School Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3520 Dryades St, New Orleans, Louisiana |
| Authorized Official Name and Position | Mark Keiser (PRESIDENT) |
| Authorized Official Contact | 5045753700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cohen College Prep High School Sbhc 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | Cohen College Prep High School Sbhc 3520 Dryades St New Orleans LA 70115-5331 Ph: (985) 307-1600 |
| NPI Number | 1447638465 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 09/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447638465 | NPI | - | NPPES |
| 2393227 | Medicaid | LA |
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