Start Corporation | |
2300 S Galvez St New Orleans LA 70125-3102 | |
(504) 332-5713 | |
(504) 587-1537 |
Full Name | Start Corporation |
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Speciality | Clinic/Center |
Location | 2300 S Galvez St, New Orleans, Louisiana |
Authorized Official Name and Position | Catherine Broussard (VICE PRESIDENT OF COMPLIANCE) |
Authorized Official Contact | 9853332020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Start Corporation Po Box 165 Houma LA 70361-0165 Ph: (985) 333-2020 | Start Corporation 2300 S Galvez St New Orleans LA 70125-3102 Ph: (504) 332-5713 |
NPI Number | 1639763519 |
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Provider Enumeration Date | 02/22/2021 |
Last Update Date | 02/22/2021 |
Medicare PECOS PAC ID | 0749403517 |
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Medicare Enrollment ID | O20210526001880 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639763519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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