MARILLAC COMMUNITY HEALTH CENTERS (NPI# 1720512247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720512247 |
| Entity Type | Organization |
| Organization Name | MARILLAC COMMUNITY HEALTH CENTERS |
| Other Organization Name | DEPAUL COMMUNITY HEALTH CENTERS |
| Practice Address |
1301 Whitney Ave Gretna LA 70056-5025 |
| Mailing Address |
Po Box 13038 New Orleans LA 70185-3038 |
| Practice Telephone | 5043678777 |
| Practice Fax Number | 5043670133 |
| Mailing Telephone | 5042073060 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | MICHAEL GRIFFIN (PRESIDENT/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 |
|---|---|
| Daughters of Charity Health Centers | 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 |
1301 WHITNEY AVE |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467563478 | James Michael Fortino | Pediatrics | 1301 Whitney Ave, Gretna, LA 70056-5025 | 2006-08-31 |
| 1316324890 | Marillac Community Health Centers | Family Medicine | 1301 Whitney Ave, Gretna, LA 70056-5025 | 2015-05-04 |
| 1578940060 | J.m. Fortino, Md Amedical Corporation | Clinic/Center | 1301 Whitney Ave, Gretna, LA 70056-5025 | 2015-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| 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 |
|---|---|---|---|---|
| 1184239642 | Access Health Louisiana | Clinic/Center | 1400 Huey P Long Ave, Gretna, LA 70053-6436 | 2020-09-11 |
| 1023571536 | Priority Health Care | Clinic/Center | 12a Westbank Expy Ste 101, Gretna, LA 70053-3659 | 2019-04-11 |
| 1639687742 | St. Thomas Community Health Center, Inc. | Clinic/Center | 230 Ochsner Blvd, Gretna, LA 70056-5246 | 2018-01-11 |
| 1790292845 | Common Ground Health Clinic | Clinic/Center | 441 Wall Blvd, Gretna, LA 70056-7723 | 2018-01-10 |
| 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 |
| 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 |
| 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.