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721 Saint Philip St New Orleans LA 70116-2713 | |
(504) 207-3064 | |
(504) 282-2213 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 721 Saint Philip St, New Orleans, Louisiana |
Authorized Official Name and Position | Michael Griffin (PRESIDENT/CEO) |
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 13038 New Orleans LA 70185-3038 Ph: (504) 207-3060 | 721 Saint Philip St New Orleans LA 70116-2713 Ph: (504) 207-3064 |
NPI Number | 1073120614 |
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Provider Enumeration Date | 09/28/2020 |
Last Update Date | 11/22/2022 |
Identifier | Type | State | Issuer |
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1073120614 | 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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