Organization
MARILLAC COMMUNITY HEALTH CENTERS
Active
Other names
DCHC - The NET Charter High School: East
Organization subpart
No
Provider details
NPI number
Authorized official
TANYELLE OATIS-GASKEW (LEAD CREDENTIALING SPECIALIST)
(504) 212-9546
Entity
Organization
Contact information
Practice address
12000 HAYNE BLVD, NEW ORLEANS, LA 70128-1127
(504) 267-3882
Mailing address
PO BOX 13038, NEW ORLEANS, LA 70185-3038
(504) 207-3060
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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