MARILLAC COMMUNITY HEALTH CENTERS (NPI# 1669086690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669086690 |
| Entity Type | Organization |
| Organization Name | MARILLAC COMMUNITY HEALTH CENTERS |
| Practice Address |
1908 Short St Kenner LA 70062-7550 |
| Mailing Address |
Po Box 13038 New Orleans LA 70185-3038 |
| Practice Telephone | 5042073064 |
| Practice Fax Number | 5042822213 |
| Mailing Telephone | 5042073060 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | MICHAEL GRIFFN (CEO) |
| 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 |
|---|---|
| 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 |
| 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 |
| 1700309820 | Marillac Community Health Centers | Clinic/Center | 3811 N Galvez St, New Orleans, LA 70117-5503 | 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 |
1908 SHORT ST |
| City | KENNER |
| State | LA |
| Zip Code | 70062-7550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782766 | Phillip P. Andrews | Pharmacist | Fast Access Specialty Therapeutics/intucare Rx, 2400 Veterans Memorial Blvd Suite 480, Kenner, LA 70062 | 2020-08-28 |
| 1992367791 | Family First Medical & Wellness Clinic, LLC | Clinic/Center | 300 Clay St, Kenner, LA 70062 | 2019-07-01 |
| 1386130573 | Racquel Monique Wilson | Counselor | 2613 Decatur St, Kenner, LA 70062 | 2018-07-10 |
| 1689101453 | Trenese Ferguson | Counselor | 2735 Jasper St, Kenner, LA 70062 | 2017-05-11 |
| 1225577323 | Deniser Mundy | Counselor | 2200 Veterans Boulevard Suite. 105, Kenner, LA 70062 | 2017-02-22 |
| 1104376714 | Easycarewellnessanddentistry LLC | Dentist | 2145 Rev. Richard Wilson Dr, Kenner, LA 70062 | 2016-10-06 |
| 1912370800 | Cabrina Dabney | Counselor | 2400 Veterans Blvd Suite 215, Kenner, LA 70062 | 2015-11-02 |
| 1285005058 | Roseland Jarrow Butler | Case Manager/Care Coordinator | 2200 Veterans Memorial Blvd Ste 105, Kenner, LA 70062 | 2015-10-19 |
| 1023449162 | Tam Minh Le | Pharmacist | 2242 Williams Boulevard, Kenner, LA 70062 | 2013-11-27 |
| 1427393966 | Courtney Beatrous-cooke | Audiologist | 2200 Veterans Blvd, Suite 212, Kenner, LA 70062 | 2012-12-11 |
| Find all providers in zip 70062 | ||||
| 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 |
|---|---|---|---|---|
| 1306476874 | Access Health Louisiana | Clinic/Center | 4121 Medoc Dr, Kenner, LA 70065-1922 | 2020-01-23 |
| 1962997569 | Jefferson Community Health Care Centers, Inc. | Clinic/Center | 2552 Williams Blvd, Kenner, LA 70062-5538 | 2018-06-26 |
| 1457802332 | Marillac Community Health Centers | Clinic/Center | 3715 Williams Blvd, Suite 220, Kenner, LA 70065-3075 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120614 | Marillac Community Health Centers | Clinic/Center | 721 Saint Philip St, New Orleans, LA 70116-2713 | 2020-09-28 |
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
| 1184239642 | Access Health Louisiana | Clinic/Center | 1400 Huey P Long Ave, Gretna, LA 70053-6436 | 2020-09-11 |
| 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 |
| 1023629425 | Winn Community Health Center, Inc. | Clinic/Center | 2200 N Bolton Ave, Alexandria, LA 71303-4407 | 2020-08-11 |
| 1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
| 1306455456 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Bert Kouns Industrial Loop Ste K-l, Shreveport, LA 71118-3351 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
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| 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.