City Of New Orleans | |
1111 Newton St New Orleans LA 70114-2500 | |
(504) 658-2785 | |
(504) 658-2874 |
Full Name | City Of New Orleans |
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Speciality | Clinic/Center |
Location | 1111 Newton St, New Orleans, Louisiana |
Authorized Official Name and Position | Ragan Collins (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5046582787 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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City Of New Orleans 2222 Simon Bolivar Ave Fl 2 New Orleans LA 70113-1460 Ph: (504) 658-2576 | City Of New Orleans 1111 Newton St New Orleans LA 70114-2500 Ph: (504) 658-2785 |
NPI Number | 1700358546 |
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Provider Enumeration Date | 12/18/2018 |
Last Update Date | 12/18/2018 |
Medicare PECOS PAC ID | 5092731505 |
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Medicare Enrollment ID | O20200609001423 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700358546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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