| Ruth U Fertel/tulane Community Health Center Gnochc | |
|
711 N Broad St New Orleans LA 70119-4206 | |
| (504) 988-3000 | |
| (504) 575-3691 |
| Full Name | Ruth U Fertel/tulane Community Health Center Gnochc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 711 N Broad St, New Orleans, Louisiana |
| Authorized Official Name and Position | Trenton Bussey (CFO) |
| Authorized Official Contact | 5045753700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth U Fertel/tulane Community Health Center Gnochc 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | Ruth U Fertel/tulane Community Health Center Gnochc 711 N Broad St New Orleans LA 70119-4206 Ph: (504) 988-3000 |
| NPI Number | 1184963654 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 08/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184963654 | NPI | - | NPPES |
| 2323377 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Louisiana) | Primary |
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