ELISHAS MEDICAL HEALTHCARE SERVICE


Address: 3308 Tulane Ave Ste 411, New Orleans, LA 70119-7100
Phone: 5048219111

ELISHAS MEDICAL HEALTHCARE SERVICE (NPI# 1265467799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265467799
Entity Type Organization
Organization Name ELISHAS MEDICAL HEALTHCARE SERVICE
Other Organization Name MECCA MEDICAL HEALTHCARE SERVICE
Practice Address 3308 Tulane Ave Ste 411
New Orleans
LA 70119-7100
Mailing Address 3025 Whitty Dr
Slidell
LA 70461-1380
Practice Telephone 5048219111
Practice Fax Number 5048219198
Mailing Telephone 5048219111
Mailing Fax Number 5048219198
Enumeration Date 2006-07-12
Last Update Date 2008-06-18
Authorized Official Name ELISHA HATCH (OWNER)
Authorized Official Telephone 5048219111
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
mecca medical healthcare service Doing Business As Name - Organization

Office Location

Street Address 3308 TULANE AVE STE 411
City NEW ORLEANS
State LA
Zip Code 70119-7100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609026970 Elisha Hatch Durable Medical Equipment & Medical Supplies 3308 Tulane Ave Ste 411, New Orleans, LA 70119-7100 2008-09-23
1932116688 Dahlia V Kirkpatrick Family Medicine 3308 Tulane Ave Ste 411, New Orleans, LA 70119-7167 2006-08-02

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1477582526 Louisiana State University School of Medicine In New Orleans Faculty G Clinic/Center 1542 Tulane Ave, Suite 123-hcn, New Orleans, LA 70112-2865 2006-07-01

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Competitor

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City NEW ORLEANS
Zip Code 70119

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Dataset Information

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.

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