| Ilh-l.b. Landry Community Health Clinic | |
|
1200 L B Landry Ave New Orleans LA 70114-2657 | |
| (504) 308-3550 | |
| Not Available |
| Full Name | Ilh-l.b. Landry Community Health Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1200 L B Landry Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Roxane A. Townsend (INTERIM CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5049034907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilh-l.b. Landry Community Health Clinic 2021 Perdido St New Orleans LA 70112-1352 Ph: (504) 903-5153 | Ilh-l.b. Landry Community Health Clinic 1200 L B Landry Ave New Orleans LA 70114-2657 Ph: (504) 308-3550 |
| NPI Number | 1689977589 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689977589 | NPI | - | NPPES |
| 2132342 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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