MARILLAC COMMUNITY HEALTH CENTERS (NPI# 1285199059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285199059 |
Entity Type | Organization |
Organization Name | MARILLAC COMMUNITY HEALTH CENTERS |
Other Organization Name | DEPAUL COMMUNITY HEALTH CENTERS |
Practice Address |
3617 General Pershing St New Orleans LA 70125-4530 |
Mailing Address |
Po Box 13038 New Orleans LA 70185-3038 |
Practice Telephone | 5042820089 |
Practice Fax Number | 5042820338 |
Mailing Telephone | 5042073060 |
Mailing Fax Number | 5044836016 |
Enumeration Date | 2019-02-06 |
Last Update Date | 2020-09-08 |
Authorized Official Name | MICHAEL GRIFFIN (CEO/PRESIDENT) |
Authorized Official Telephone | 5042073060 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Daughters of Charity Health Center | Doing Business As Name - Organization |
DePaul Community Health Centers | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073120614 | Marillac Community Health Centers | Clinic/Center | 721 Saint Philip St, New Orleans, LA 70116-2713 | 2020-09-28 |
1770198681 | Marillac Community Health Centers | Clinic/Center | 4000 Cadillac St, New Orleans, LA 70122-1117 | 2020-09-09 |
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 |
1669086690 | Marillac Community Health Centers | Clinic/Center | 1908 Short St, Kenner, LA 70062-7550 | 2020-09-08 |
1912548330 | Marillac Community Health Centers | Clinic/Center | 919 Cambronne St, New Orleans, LA 70118-1121 | 2019-10-07 |
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 |
1841713963 | Marillac Community Health Centers | Clinic/Center | 7701 Grant St, New Orleans, LA 70126-4503 | 2017-07-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MARILLAC COMMUNITY HEALTH CENTERS | 3201 S Carrollton Ave, New Orleans, LA 70118-4307 |
Street Address |
3617 GENERAL PERSHING ST |
City | NEW ORLEANS |
State | LA |
Zip Code | 70125-4530 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801177589 | Broadmoor Charter School Board | Local Education Agency (LEA) | 3617 General Pershing St, New Orleans, LA 70125-4530 | 2011-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780202127 | Allison Skapik | Counselor | 2700 South Broad St, New Orleans, LA 70125 | 2020-07-13 |
1578185781 | Prestige Medical Staffing and Marketing | Family Medicine | 4108 Vendome Place, New Orleans, LA 70125 | 2020-05-11 |
1134788797 | Odyssey House Louisiana, Inc | Substance Abuse Rehabilitation Facility | 2700 S. Broad St, New Orleans, LA 70125 | 2019-06-07 |
1356906812 | Jinaki Flint | Psychologist | 7934 Edinburgh Street, New Orleans, LA 70125 | 2019-05-09 |
1043702814 | Unh Counseling Services, LLC | Community/Behavioral Health | 1050 S Jefferson Davis Pkwy Ste 239, New Orleans, LA 70125 | 2018-06-06 |
1952825101 | Le'asya Mona' Hudson | Counselor | 909 S. Broad Ave., New Orleans, LA 70125 | 2017-07-31 |
1467982298 | Deanna Simon | Counselor | 1608 S. Salcedo St., New Orleans, LA 70125 | 2017-06-14 |
1184152340 | Letrainiump Kivante Richard | Case Manager/Care Coordinator | 7830 Colapissa St, New Orleans, LA 70125 | 2017-05-31 |
1073052502 | Tanjah Woods | Counselor | 3219 Louisiana, New Orleans, LA 70125 | 2017-02-16 |
1255875845 | Wendi Cooper | Behavior Technician | 1050 S Jefferson Davis Pkwy Suite 212, New Orleans, LA 70125 | 2016-12-15 |
Find all providers in zip 70125 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073120614 | Marillac Community Health Centers | Clinic/Center | 721 Saint Philip St, New Orleans, LA 70116-2713 | 2020-09-28 |
1770198681 | Marillac Community Health Centers | Clinic/Center | 4000 Cadillac St, New Orleans, LA 70122-1117 | 2020-09-09 |
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 | 70125 |
Please comment or provide details below to improve the information on MARILLAC COMMUNITY HEALTH CENTERS.
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.