| Depaul Community Health Centers-st. Mary's Academy | |
|
6905 Chef Menteur Hwy New Orleans LA 70126-5215 | |
| (504) 207-3060 | |
| (504) 483-6016 |
| Full Name | Depaul Community Health Centers-st. Mary's Academy |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6905 Chef Menteur Hwy, New Orleans, Louisiana |
| Authorized Official Name and Position | Michael Griffin (PRESIDENT/CEO) |
| Authorized Official Contact | 5042073060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Depaul Community Health Centers-st. Mary's Academy Po Box 13038 New Orleans LA 70185-3038 Ph: (504) 207-3059 | Depaul Community Health Centers-st. Mary's Academy 6905 Chef Menteur Hwy New Orleans LA 70126-5215 Ph: (504) 207-3060 |
| NPI Number | 1508312265 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 11/22/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508312265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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