| Interim Lsu Public Hospital - Hiv Op Program | |
|
2235 Poydras St. New Orleans LA 70119-7561 | |
| (504) 903-6572 | |
| (504) 903-5313 |
| Full Name | Interim Lsu Public Hospital - Hiv Op Program |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 2235 Poydras St., New Orleans, Louisiana |
| Authorized Official Name and Position | Roxane A Townsend (INTERIM CEO) |
| Authorized Official Contact | 5049034907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interim Lsu Public Hospital - Hiv Op Program 2021 Perdido St New Orleans LA 70112-1352 Ph: (504) 903-5153 | Interim Lsu Public Hospital - Hiv Op Program 2235 Poydras St. New Orleans LA 70119-7561 Ph: (504) 903-6572 |
| NPI Number | 1952604274 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 07/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952604274 | NPI | - | NPPES |
| 2132369 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 191-C (Louisiana) | Primary |
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