| St. Thomas Community Health Center, Inc. | |
|
230 Ochsner Blvd Gretna LA 70056-5246 | |
| (504) 529-5558 | |
| Not Available |
| Full Name | St. Thomas Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 230 Ochsner Blvd, Gretna, Louisiana |
| Authorized Official Name and Position | Donald T Erwin (CEO) |
| Authorized Official Contact | 5045295558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Thomas Community Health Center, Inc. 1936 Magazine St New Orleans LA 70130-5016 Ph: (504) 529-5558 | St. Thomas Community Health Center, Inc. 230 Ochsner Blvd Gretna LA 70056-5246 Ph: (504) 529-5558 |
| NPI Number | 1639687742 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 8527163211 |
|---|---|
| Medicare Enrollment ID | O20180307000829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639687742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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