| Ruth U Fertel/tulane Community Health Center | |
|
711 N Broad St New Orleans LA 70119-4206 | |
| (985) 307-1600 | |
| (504) 575-3691 |
| Full Name | Ruth U Fertel/tulane Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 711 N Broad St, New Orleans, Louisiana |
| Authorized Official Name and Position | Mark Keiser (PRESIDENT) |
| Authorized Official Contact | 5045753712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth U Fertel/tulane Community Health Center 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | Ruth U Fertel/tulane Community Health Center 711 N Broad St New Orleans LA 70119-4206 Ph: (985) 307-1600 |
| NPI Number | 1063759066 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 08/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063759066 | NPI | - | NPPES |
| 2324161 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Louisiana) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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