| Carver Community Clinic, Llc | |
|
3059 Higgins Blvd New Orleans LA 70126-5422 | |
| (504) 520-0203 | |
| Not Available |
| Full Name | Carver Community Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3059 Higgins Blvd, New Orleans, Louisiana |
| Authorized Official Name and Position | Stephen T Jones (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5045200203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carver Community Clinic, Llc 3059 Higgins Blvd New Orleans LA 70126 Ph: (504) 520-0203 | Carver Community Clinic, Llc 3059 Higgins Blvd New Orleans LA 70126-5422 Ph: (504) 520-0203 |
| NPI Number | 1225488562 |
|---|---|
| Provider Enumeration Date | 06/17/2016 |
| Last Update Date | 06/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225488562 | NPI | - | NPPES |
| 1093840 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD203855 (Louisiana) | Primary |
| 261QS1000X | Clinic/center - Student Health | MD203855 (Louisiana) | Secondary |
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