ST. THOMAS COMMUNITY HEALTH CENTER, INC. (NPI# 1053626598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053626598 |
Entity Type | Organization |
Organization Name | ST. THOMAS COMMUNITY HEALTH CENTER, INC. |
Other Organization Name | ST. THOMAS COMMUNITY HEALTH CENTER MAHALIA JACKSON |
Practice Address |
2405 Jackson Ave New Orleans LA 70113-2400 |
Mailing Address |
1020 Saint Andrew St New Orleans LA 70130-5022 |
Practice Telephone | 5045295558 |
Practice Fax Number | 5045955020 |
Mailing Telephone | 5045295558 |
Mailing Fax Number | 5045955020 |
Enumeration Date | 2010-08-09 |
Last Update Date | 2020-03-05 |
Authorized Official Name | DR. DONALD T. ERWIN (CEO) |
Authorized Official Telephone | 5045295558 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | ST. THOMAS COMMUNITY HEALTH CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | LA | Allopathic & Osteopathic Physicians | |
N | 208000000X | Pediatrics | LA | Allopathic & Osteopathic Physicians | |
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2126563 | 05 |
Other Name | Type Code |
---|---|
St. Thomas Community Health Center Mahalia Jackson | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346758323 | St. Thomas Community Health Center, Inc. | Clinic/Center | 3221 General Degaulle Dr, New Orleans, LA 70114-6708 | 2018-01-12 |
1639687742 | St. Thomas Community Health Center, Inc. | Clinic/Center | 230 Ochsner Blvd, Gretna, LA 70056-5246 | 2018-01-11 |
1194247825 | St. Thomas Community Health Center, Inc. | Clinic/Center | 2014 Magazine St, New Orleans, LA 70130-5018 | 2017-07-14 |
1598216186 | St. Thomas Community Health Center, Inc. | Clinic/Center | 1024 Jackson Ave, New Orleans, LA 70130-5546 | 2016-10-18 |
1598215402 | St. Thomas Community Health Center, Inc. | Clinic/Center | 2010 Magazine St, New Orleans, LA 70130-5018 | 2016-10-04 |
1558773374 | St. Thomas Community Health Center, Inc. | Clinic/Center | 3943 St. Bernard Ave, New Orleans, LA 70122 | 2014-05-28 |
1801276480 | St. Thomas Community Health Center, Inc. | Clinic/Center | 2108 Coliseum St, New Orleans, LA 70130-5116 | 2015-06-09 |
1609256494 | St. Thomas Community Health Center, Inc. | Clinic/Center | 2108 Coliseum St, New Orleans, LA 70130-5116 | 2015-06-05 |
1952794091 | St. Thomas Community Health Center, Inc. | Clinic/Center | 1200 L B Landry Ave, New Orleans, LA 70114-2657 | 2015-03-13 |
1851784235 | St. Thomas Community Health Center, Inc. | Clinic/Center | 1200 L B Landry Ave, New Orleans, LA 70114-2657 | 2015-03-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ST. THOMAS COMMUNITY HEALTH CENTER, INC. | 1020 Saint Andrew St, New Orleans, LA 70130-5022 |
Street Address |
2405 JACKSON AVE |
City | NEW ORLEANS |
State | LA |
Zip Code | 70113-2400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669772695 | St. Thomas Community Health Center, Inc. | Internal Medicine | 2405 Jackson Ave, New Orleans, LA 70113-2400 | 2010-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841756798 | New Orleans Charter Science and Math Academy | Local Education Agency (LEA) | 2625 Thalia St, New Orleans, LA 70113 | 2019-02-15 |
1356811913 | Latisha N. Hebert | Case Manager/Care Coordinator | 615 Barrone Street, New Orleans, LA 70113 | 2018-11-27 |
1346721255 | Notre Dame Health System | Chore Provider | 1000 Howard Ave Fl 10, New Orleans, LA 70113 | 2018-08-28 |
1194251355 | Transportation and Logistics Management LLC | Non-emergency Medical Transport (VAN) | 2521 St. Andrew St., New Orleans, LA 70113 | 2017-05-10 |
1902346901 | Trenell Hugle | Case Manager/Care Coordinator | 2221 Phillips Streetsuite 209, New Orleans, LA 70113 | 2017-02-24 |
1407395411 | Center for Resilience Inc | Psychologist | 2603 Baronne St, New Orleans, LA 70113 | 2017-02-23 |
1710433057 | Stone Clinical Laboratories LLC | Clinical Medical Laboratory | 615 Baronne Street Suite 100, New Orleans, LA 70113 | 2016-08-28 |
1023488210 | Tanya N. Noland | Counselor | 701 Loyola Ave # 106, New Orleans, LA 70113 | 2015-09-30 |
1497197198 | Crescent Speech & Hearing, LLC | Audiologist-Hearing Aid Fitter | 1600 Oretha Castle Haley Blvd., New Orleans, LA 70113 | 2013-07-23 |
1174873749 | Jacquel Deshawn Benion | Case Manager/Care Coordinator | 701 Loyola Ave., Suite 106, New Orleans, LA 70113 | 2012-09-11 |
Find all providers in zip 70113 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1528673308 | Marillac Community Health Centers | Clinic/Center | 5800 Saint Roch Ave, New Orleans, LA 70122-5336 | 2020-09-09 |
1013522879 | Marillac Community Health Centers | Clinic/Center | 1423 Saint Philip St, New Orleans, LA 70116-2933 | 2020-09-09 |
1912548330 | Marillac Community Health Centers | Clinic/Center | 919 Cambronne St, New Orleans, LA 70118-1121 | 2019-10-07 |
1437708237 | Access Health Louisiana | Clinic/Center | 1500 Baronne St, New Orleans, LA 70113-1302 | 2019-09-05 |
1780248427 | St. Gabriel Health Clinic, Inc | Clinic/Center | 12000 Hayne Blvd, New Orleans, LA 70128-1127 | 2019-04-29 |
1457816225 | Marillac Community Health Centers | Clinic/Center | 615 City Park Ave, New Orleans, LA 70119-4399 | 2019-02-06 |
1437622735 | Marillac Community Health Centers | Clinic/Center | 1501 Abundance St, New Orleans, LA 70119-2052 | 2019-01-09 |
1407325798 | Marillac Community Health Centers | Clinic/Center | 2600 A P Tureaud Ave, New Orleans, LA 70119-1208 | 2018-11-16 |
Find all providers in NEW ORLEANS |
City | NEW ORLEANS |
Zip Code | 70113 |
Please comment or provide details below to improve the information on ST. THOMAS COMMUNITY HEALTH CENTER, INC..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.