| Depaul Community Health Centers- Our Lady Of Academy | |
|
5501 Westbank Expy Marrero LA 70072-2934 | |
| (504) 212-9548 | |
| Not Available |
| Full Name | Depaul Community Health Centers- Our Lady Of Academy |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5501 Westbank Expy, Marrero, Louisiana |
| Authorized Official Name and Position | Tracy Smith (HR GENERALIST) |
| Authorized Official Contact | 5042129548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Depaul Community Health Centers- Our Lady Of Academy 3201 S Carrollton Ave New Orleans LA 70118-4307 Ph: (504) 212-9548 | Depaul Community Health Centers- Our Lady Of Academy 5501 Westbank Expy Marrero LA 70072-2934 Ph: (504) 212-9548 |
| NPI Number | 1710612700 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710612700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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