| Gretna Community Health Center | |
|
441 Wall Blvd Gretna LA 70056-7723 | |
| (504) 361-9800 | |
| Not Available |
| Full Name | Gretna Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 441 Wall Blvd, Gretna, Louisiana |
| Authorized Official Name and Position | Carleetha Smith (CEO) |
| Authorized Official Contact | 5043022285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gretna Community Health Center 441 Wall Blvd Gretna LA 70056-7723 Ph: () - | Gretna Community Health Center 441 Wall Blvd Gretna LA 70056-7723 Ph: (504) 361-9800 |
| NPI Number | 1790292845 |
|---|---|
| Provider Enumeration Date | 01/10/2018 |
| Last Update Date | 12/22/2021 |
| Medicare PECOS PAC ID | 9537290226 |
|---|---|
| Medicare Enrollment ID | O20180730000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790292845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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