MARILLAC COMMUNITY HEALTH CENTERS (NPI# 1093249518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093249518 |
Entity Type | Organization |
Organization Name | MARILLAC COMMUNITY HEALTH CENTERS |
Other Organization Name | DEPAUL COMMUNITY HEALTH CENTERS |
Practice Address |
3215 General Meyer Ave New Orleans LA 70114-3204 |
Mailing Address |
Po Box 13038 New Orleans LA 70185-3038 |
Practice Telephone | 5043628930 |
Practice Fax Number | 5043688486 |
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 |
3215 GENERAL MEYER AVE |
City | NEW ORLEANS |
State | LA |
Zip Code | 70114-3204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043663214 | Marillac Community Health Centers | Clinic/Center | 3215 General Meyer Ave, New Orleans, LA 70114-3204 | 2016-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144789645 | Reginald A Parquet | Social Worker | 3510 General Meyer Avenue, New Orleans, LA 70114 | 2019-03-14 |
1386114957 | Trenai' Augusta Lewis | Registered Nurse | Use 3100 General Degaulle, New Orleans, LA 70114 | 2018-11-27 |
1003335522 | Samiyya Antoinette Degree | Case Manager/Care Coordinator | 1525 L B Landry Ave, New Orleans, LA 70114 | 2017-09-15 |
1972021533 | Latara Mack | Counselor | Louisiana Support Services 3630 Macarthur Blvd, New Orleans, LA 70114 | 2017-09-05 |
1053837419 | Jemal Causey | Counselor | 1210 Belleville Street, New Orleans, LA 70114 | 2017-08-17 |
1528590320 | Brandon Christopher Shelly | Case Manager/Care Coordinator | 1110 Thayer St, New Orleans, LA 70114 | 2017-03-30 |
1639618820 | Livegood At Home Care Services LLC | In Home Supportive Care | 1048 Flanders Street, New Oreans, LA 70114 | 2017-02-21 |
1215472733 | Shannon Newell | Counselor | 1927 Flanders, New Orleans, LA 70114 | 2016-12-20 |
1285177899 | Shannon Delavallade | Case Manager/Care Coordinator | 1300 Evelina St, New Orleans, LA 70114 | 2016-11-30 |
1770026395 | Grant Burns Jr. | Counselor | 3520 General Degaulle Dr Ste 4070, New Orleans, LA 70114 | 2016-11-30 |
Find all providers in zip 70114 |
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 | 70114 |
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.