Organization
EXCELTH, INCORPORATED
Active
Other names
EXCELth Family Health Center-Algiers
Organization subpart
No
Provider details
NPI number
Authorized official
MATILDA A TENNESSEE (RCM)
(504) 658-2785
Entity
Organization
Contact information
Practice address
4422 GENERAL MEYER AVE, SUITE 103, NEW ORLEANS, LA 70131-3588
(504) 526-1179
(504) 526-1200
Mailing address
1515 POYDRAS ST, SUITE 1070, NEW ORLEANS, LA 70112-3723
(504) 524-1210
(504) 524-1491
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/15/2011
Last updated
01/22/2024
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