COMMON GROUND HEALTH CLINIC (NPI# 1790292845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790292845 |
| Entity Type | Organization |
| Organization Name | COMMON GROUND HEALTH CLINIC |
| Other Organization Name | GRETNA COMMUNITY HEALTH CENTER |
| Practice Address |
441 Wall Blvd Gretna LA 70056-7723 |
| Practice Telephone | 5043619800 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | CARLEETHA SMITH (CEO) |
| Authorized Official Telephone | 5043022285 |
| 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 |
|---|---|
| Gretna Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972739191 | Common Ground Health Clinic | Clinic/Center | 1400 Teche St, New Orleans, LA 70114-5843 | 2009-06-02 |
| 1801216767 | Common Ground Health Clinic | Clinic/Center | 1400 Teche St, New Orleans, LA 70114-5843 | 2014-04-18 |
| 1073801247 | Common Ground Health Clinic | General Practice | 1400 Teche St, New Orleans, LA 70114-5843 | 2011-07-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMON GROUND HEALTH CLINIC | 441 Wall Blvd, Gretna, LA 70056-7723 |
| Street Address |
441 WALL BLVD |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-7723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285671610 | Donalyn M Deblanc | Nurse Practitioner | 441 Wall Blvd, Gretna, LA 70056-7723 | 2006-06-02 |
| 1952733651 | Leslie Hickey Brown | Nurse Practitioner | 441 Wall Blvd, Gretna, LA 70056-7723 | 2013-08-05 |
| 1912343799 | Dale L. Banks Jr. | Nurse Practitioner | 441 Wall Blvd, Gretna, LA 70056-7723 | 2013-05-20 |
| 1235488131 | Keishia Henderson Mackie | Nurse Practitioner | 441 Wall Blvd, Gretna, LA 70056-7723 | 2012-09-06 |
| 1255680633 | Shari Lyn Malaki-tran | Nurse Practitioner | 441 Wall Blvd, Gretna, LA 70056 | 2012-08-31 |
| 1932495470 | Brandon Page | Family Medicine | 441 Wall Blvd, Gretna, LA 70056-7723 | 2011-06-23 |
| 1821392895 | Aimee H. Coulon | Nurse Practitioner | 441 Wall Blvd, Gretna, LA 70056-7723 | 2011-01-05 |
| 1952638249 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 441 Wall Blvd, Gretna, LA 70056-7723 | 2009-11-09 |
| 1114150976 | Ochsner Clinic LLC | Clinic/Center | 441 Wall Blvd, Gretna, LA 70056-7723 | 2009-08-27 |
| 1821247420 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 441 Wall Blvd, Gretna, LA 70056-7723 | 2008-09-18 |
| Find all providers in the same location | ||||
| 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... |
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|---|---|---|---|---|
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| 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 |
| 1720512247 | Marillac Community Health Centers | Clinic/Center | 1301 Whitney Ave, Gretna, LA 70056-5025 | 2017-04-12 |
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| 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 |
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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.