| |
1111 Newton St New Orleans LA 70114-2500 | |
(504) 658-2550 | |
(504) 364-5606 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1111 Newton St, New Orleans, Louisiana |
Authorized Official Name and Position | Adrain Gill (NURSING SUPERVISOR) |
Authorized Official Contact | 5046582532 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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517 N Rampart St 5th Fl. New Orleans LA 70112-3503 Ph: (504) 658-2618 | 1111 Newton St New Orleans LA 70114-2500 Ph: (504) 658-2550 |
NPI Number | 1619287687 |
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Provider Enumeration Date | 10/08/2010 |
Last Update Date | 10/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619287687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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