# COMMON GROUND HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073801247
- **Authorized official:** MRS. RONASHEIA B. GRIFFIN (SOCIAL WORK/ SOCIAL SERVICE)
- **Authorized official phone:** (504) 361-9800

## Contact information

- **Practice address:** 1400 TECHE ST, NEW ORLEANS, LA 70114-5843
- **Practice address phone:** (504) 361-9800
- **Practice address fax:** (504) 368-9836
- **Mailing address:** 1400 TECHE ST, NEW ORLEANS, LA 70114-5843
- **Mailing address phone:** (504) 361-9800
- **Mailing address fax:** (504) 368-9836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 024137 | LA | Yes |

## Other

- **Enumeration date:** 07/21/2011
- **Last updated:** 07/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2131940 | GREATER NEW ORLEANS COMMUNITY HEALTH CONNECTION | LA |