# BASE NEW ORLEANS CLINIC

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

## Provider details

- **NPI number:** 1780742049
- **Authorized official:** MR. ANTONIO COLE HSA (HEALTH SERVICES ADMINISTRATOR)
- **Authorized official phone:** (504) 253-4677

## Contact information

- **Practice address:** 1790 SATURN ST, USCG BASE NOLA MEDICAL CLINIC, NEW ORLEANS, LA 70129-2270
- **Practice address phone:** (504) 253-4717
- **Practice address fax:** (504) 253-4717
- **Mailing address:** 1790 SATURN ROAD, HS DIVISION -- HEALTH SERVICES ADMINISTRATOR, NEW ORLEANS, LA 70129
- **Mailing address phone:** (504) 253-4671
- **Mailing address fax:** (504) 253-4717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 11/19/2014