MARILLAC COMMUNITY HEALTH CENTERS (NPI# 1013522879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013522879 |
| Entity Type | Organization |
| Organization Name | MARILLAC COMMUNITY HEALTH CENTERS |
| Practice Address |
1423 Saint Philip St New Orleans LA 70116-2933 |
| Mailing Address |
Po Box 13038 New Orleans LA 70185-3038 |
| Practice Telephone | 5042073064 |
| Practice Fax Number | 5042822213 |
| Mailing Telephone | 5042073060 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | MICHAEL GRIFFIN (CEO) |
| Authorized Official Telephone | 5042129538 |
| 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 |
| 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 |
| 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 |
1423 SAINT PHILIP ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70116-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912484023 | Serenity Personal Care Services, LLC | In Home Supportive Care | 1536 N Claiborne Ave, New Orleans, LA 70116 | 2018-07-20 |
| 1013430610 | Tempest Jane Jackson | Behavior Technician | 4640 South Carrollton Ave, New Orleans, LA 70116 | 2017-07-25 |
| 1780129346 | Twila Franklin-vining | Counselor | 1540 N Claiborne Ave, New Orleans, LA 70116 | 2017-01-05 |
| 1295286631 | Madeline Levy | Social Worker | 1211 Kelerec Street, New Orleans, LA 70116 | 2016-10-20 |
| 1952788630 | Wisdom Corrdinator Care Lc | Community/Behavioral Health | 1836 St.bernard Ave, Suite 2, New Orleans, LA 70116 | 2015-05-01 |
| 1184908485 | Kipp New Orleans Inc | Local Education Agency (LEA) | 721 St. Philip Street, Kipp Mcdonogh 15 Primary, New Orleans, LA 70116 | 2011-10-05 |
| 1568767861 | James Louis Foucha | Community Health Worker | 1836 Saint Bernard Ave Ste 200, New Orleans, LA 70116 | 2011-01-18 |
| 1831422468 | Bedside Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1455 N. Claiborne Ave, New Orleans, LA 70116 | 2009-09-15 |
| 1437389038 | Bedside Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1455 N. Claiborne Ave., New Orleans, LA 70116 | 2009-07-17 |
| 1992844187 | Debra A Namias | Social Worker | 1112 Bourbon Street, Suite D, New Orleans, LA 70116 | 2007-02-05 |
| Find all providers in zip 70116 | ||||
| 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 |
| 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 |
| 1316443716 | Access Health Louisiana | Clinic/Center | 234 Loyola Ave Fl 3, New Orleans, LA 70112-2026 | 2018-04-04 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70116 |
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.