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701 Loyola Ave New Orleans LA 70113-1912 | |
(504) 332-5718 | |
(504) 558-9599 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 701 Loyola Ave, New Orleans, Louisiana |
Authorized Official Name and Position | Trudy Franks (PROGRAM DIRECTOR) |
Authorized Official Contact | 9853332020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 165 Houma LA 70361-0165 Ph: (985) 879-3966 | 701 Loyola Ave New Orleans LA 70113-1912 Ph: (504) 332-5718 |
NPI Number | 1245733302 |
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Provider Enumeration Date | 03/15/2018 |
Last Update Date | 08/19/2020 |
Identifier | Type | State | Issuer |
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1245733302 | 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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