| Common Ground Health Clinic | |
|
1400 Teche St New Orleans LA 70114-5843 | |
| (504) 365-8800 | |
| (504) 368-9836 |
| Full Name | Common Ground Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 Teche St, New Orleans, Louisiana |
| Authorized Official Name and Position | Antor Odu Ndep (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5043658800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Ground Health Clinic 1400 Teche St New Orleans LA 70114-5843 Ph: (504) 365-8800 | Common Ground Health Clinic 1400 Teche St New Orleans LA 70114-5843 Ph: (504) 365-8800 |
| NPI Number | 1972739191 |
|---|---|
| Provider Enumeration Date | 06/02/2009 |
| Last Update Date | 06/02/2009 |
| Medicare PECOS PAC ID | 9537290226 |
|---|---|
| Medicare Enrollment ID | O20100624000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972739191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Louisiana) | Primary |
| Provider Name | Anne L Foundas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770677551 PECOS PAC ID: 1153400148 Enrollment ID: I20080501000510 |
| Provider Name | Jean Mathis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336191378 PECOS PAC ID: 2668484189 Enrollment ID: I20110712000063 |
| Provider Name | Charlise Hope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629580030 PECOS PAC ID: 8224382221 Enrollment ID: I20181109001840 |
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