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Contact Information

MARILLAC COMMUNITY HEALTH CENTERS
12000 HAYNE BLVD
NEW ORLEANS, LA70128-1127
 Phone: 504-267-3882
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for MARILLAC COMMUNITY HEALTH CENTERS

NPI Number 1003675919
LBN Legal business name MARILLAC COMMUNITY HEALTH CENTERS
Authorized official TANYELLE OATIS-GASKEW - (LEAD CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2024
Last updated 03/14/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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