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1125 N. Tonti St. C/o Community Medical Clinic New Orleans LA 70119 | |
(504) 383-8559 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1125 N. Tonti St., New Orleans, Louisiana |
Authorized Official Name and Position | Edward Carlson (CEO) |
Authorized Official Contact | 5043838559 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1125 N Tonti St C/o Community Clinic New Orleans LA 70119-3549 Ph: (504) 383-8559 | 1125 N. Tonti St. C/o Community Medical Clinic New Orleans LA 70119 Ph: (504) 383-8559 |
NPI Number | 1932578408 |
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Provider Enumeration Date | 09/15/2015 |
Last Update Date | 04/22/2022 |
Medicare PECOS PAC ID | 5294917928 |
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Medicare Enrollment ID | O20160210000234 |
Identifier | Type | State | Issuer |
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1932578408 | 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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