MARILLAC COMMUNITY HEALTH CENTERS (NPI# 1457816225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457816225 |
| Entity Type | Organization |
| Organization Name | MARILLAC COMMUNITY HEALTH CENTERS |
| Other Organization Name | DEPAUL COMMUNITY HEALTH CENTERS |
| Practice Address |
615 City Park Ave New Orleans LA 70119-4399 |
| Mailing Address |
Po Box 13038 New Orleans LA 70185-3038 |
| Practice Telephone | 5042820089 |
| Mailing Telephone | 5042073060 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | MICHAEL GRIFFIN (PRESIDENT/CO) |
| 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 |
| 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 |
615 CITY PARK AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-4399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| 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 |
| 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 | 70119 |
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.