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4861 Rosalia Dr New Orleans LA 70127-3562 | |
(504) 207-3060 | |
(504) 483-6016 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4861 Rosalia Dr, New Orleans, Louisiana |
Authorized Official Name and Position | Michael Griffin (CEO-PRESIDENT) |
Authorized Official Contact | 5042073060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 4148 New Orleans LA 70178-4148 Ph: (504) 212-9558 | 4861 Rosalia Dr New Orleans LA 70127-3562 Ph: (504) 207-3060 |
NPI Number | 1437930625 |
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Provider Enumeration Date | 10/12/2023 |
Last Update Date | 02/06/2025 |
Identifier | Type | State | Issuer |
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1437930625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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