| |
2515 Canal St New Orleans LA 70119-6435 | |
(504) 821-2601 | |
(504) 814-6047 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2515 Canal St, New Orleans, Louisiana |
Authorized Official Name and Position | Alice Riener (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5048212601 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1631 Elysian Fields Ave New Orleans LA 70117-8208 Ph: (504) 821-2601 | 2515 Canal St New Orleans LA 70119-6435 Ph: (504) 821-2601 |
NPI Number | 1689081648 |
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Provider Enumeration Date | 07/22/2014 |
Last Update Date | 08/02/2024 |
Medicare PECOS PAC ID | 2163514100 |
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Medicare Enrollment ID | O20140909000737 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689081648 | NPI | - | NPPES |
2373251 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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