| Central City | |
|
2426 Simon Bolivar Ave New Orleans LA 70113-2548 | |
| (504) 517-1607 | |
| (504) 571-1609 |
| Full Name | Central City |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2426 Simon Bolivar Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Suzan Jackson (ADMINISTRATOR) |
| Authorized Official Contact | 5042417751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central City 2426 Simon Bolivar Ave New Orleans LA 70113-2548 Ph: (504) 517-1607 | Central City 2426 Simon Bolivar Ave New Orleans LA 70113-2548 Ph: (504) 517-1607 |
| NPI Number | 1396115978 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 09/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396115978 | NPI | - | NPPES |
| 1155381 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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