| Medical Center Of Gentilly | |
|
7901 Downman Rd New Orleans LA 70126-1200 | |
| (504) 244-1991 | |
| (504) 244-1984 |
| Full Name | Medical Center Of Gentilly |
|---|---|
| Speciality | Clinic/Center |
| Location | 7901 Downman Rd, New Orleans, Louisiana |
| Authorized Official Name and Position | Wanda Gail Timpton (CEO) |
| Authorized Official Contact | 5042441991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center Of Gentilly 5824 Hayne Blvd New Orleans LA 70126-1344 Ph: (504) 244-1991 | Medical Center Of Gentilly 7901 Downman Rd New Orleans LA 70126-1200 Ph: (504) 244-1991 |
| NPI Number | 1508163411 |
|---|---|
| Provider Enumeration Date | 02/13/2011 |
| Last Update Date | 02/13/2011 |
| Medicare PECOS PAC ID | 0042491573 |
|---|---|
| Medicare Enrollment ID | O20110216000991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508163411 | NPI | - | NPPES |
| 1357561 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 017776 (Louisiana) | Primary |
| Provider Name | Wanda G Timpton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033276456 PECOS PAC ID: 8426150657 Enrollment ID: I20070219000604 |
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