Common Ground Health Clinic | |
3737 General Degaulle Dr New Orleans LA 70114-8205 | |
(504) 361-9800 | |
Not Available |
Full Name | Common Ground Health Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3737 General Degaulle Dr, New Orleans, Louisiana |
Authorized Official Name and Position | Carleetha Lankster-smith (CEO) |
Authorized Official Contact | 5043619800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Common Ground Health Clinic 441 Wall Blvd Gretna LA 70056-7723 Ph: (504) 361-9800 | Common Ground Health Clinic 3737 General Degaulle Dr New Orleans LA 70114-8205 Ph: (504) 361-9800 |
NPI Number | 1801216767 |
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Provider Enumeration Date | 04/18/2014 |
Last Update Date | 12/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801216767 | NPI | - | NPPES |
2356241 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 261QF0400X (Louisiana) | Primary |
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