MARILLAC COMMUNITY HEALTH CENTERS (NPI# 1780935973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780935973 |
| Entity Type | Organization |
| Organization Name | MARILLAC COMMUNITY HEALTH CENTERS |
| Other Organization Name | DEPAUL COMMUNITY HEALTH CENTERS |
| Practice Address |
1030 Lesseps St New Orleans LA 70117-4736 |
| Mailing Address |
3201 S Carrollton Ave New Orleans LA 70118-4307 |
| Practice Telephone | 5049416041 |
| Mailing Telephone | 5042073060 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | MICHAEL GRIFFIN (PRESIDENT/CEO) |
| Authorized Official Telephone | 5042129502 |
| 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 Center - St. Cecilia | 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 |
1030 LESSEPS ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70117-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093819518 | Monique Mcconduit Jones | Pediatrics | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2006-09-13 |
| 1245744788 | Sue Ann Stokes | Social Worker | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2017-11-20 |
| 1285987131 | Joanna Lorraine Dubinsky | Physician Assistant | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2012-10-16 |
| 1811245012 | Marillac Community Health Centers | Dentist | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2012-08-17 |
| 1154680114 | Marillac Community Health Centers | Clinic/Center | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2012-05-11 |
| 1558632877 | Daughters of Charity Services of New Orleans | Family Medicine | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2012-01-18 |
| 1477638740 | Clifford Davis II | Dentist | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972130995 | Cyntrell Emma Patterson | Non-emergency Medical Transport (VAN) | 1247 Tennessee Street, New Orleans, LA 70117 | 2020-03-27 |
| 1558996496 | Martha S Cortez | Counselor | 1631 Elysian Fields, New Orleans, LA 70117 | 2020-03-11 |
| 1295204683 | Dora Hewitt | Home Health | 2001 Pauline St, N, New Orleans, LA 70117 | 2018-11-15 |
| 1285125484 | Nathaniel Roche | Counselor | 1800 Lamanche St., New Orleans, LA 70117 | 2018-05-23 |
| 1922528231 | Lenneria T Franklin | Counselor | 3028 Gentilly Blvd., New Orleans, LA 70117 | 2017-06-27 |
| 1770028425 | Marcus Jackson | Counselor | 2313 Almonaster Ave, New Orleans, LA 70117 | 2017-01-04 |
| 1174067243 | Jada Daniels | Case Manager/Care Coordinator | 1008 Forstall St, New Orleans, LA 70117 | 2016-12-08 |
| 1518413319 | Gwendolyn Craft | Counselor | 1719 Lamanche St, New Orleans, LA 70117 | 2016-08-31 |
| 1275975856 | Lean On Us, LLC | Community/Behavioral Health | 5500 St. Claude Avenue, New Orleans, LA 70117 | 2013-07-23 |
| 1982988283 | Kipp New Orleans Inc | Local Education Agency (LEA) | 3200 St. Claude Avenue, Kipp Leadership Academy, New Orleans, LA 70117 | 2011-10-05 |
| Find all providers in zip 70117 | ||||
| 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 | 70117 |
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.