| Depaul Community Health Centers-st. Theresa Academy | |
|
6421 W Metairie Ave Metairie LA 70003-4327 | |
| (504) 513-4400 | |
| Not Available |
| Full Name | Depaul Community Health Centers-st. Theresa Academy |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6421 W Metairie Ave, Metairie, Louisiana |
| Authorized Official Name and Position | Tanyelle Oatis-gaskew (LEAD CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5042129546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Depaul Community Health Centers-st. Theresa Academy 3201 S Carrollton Ave New Orleans LA 70118-4307 Ph: (504) 212-9548 | Depaul Community Health Centers-st. Theresa Academy 6421 W Metairie Ave Metairie LA 70003-4327 Ph: (504) 513-4400 |
| NPI Number | 1346975349 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346975349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Advantage Suboxone Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3349 Ridgelake Dr, Metairie, LA 70002 Phone: 504-495-9519 | |
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