Organization
CARVER COMMUNITY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN T JONES MD (MEDICAL DIRECTOR)
(504) 520-0203
Entity
Organization
Contact information
Practice address
3059 HIGGINS BLVD, NEW ORLEANS, LA 70126-5422
(504) 520-0203
Mailing address
3059 HIGGINS BLVD, NEW ORLEANS, LA 70126
(504) 520-0203
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD203855
LA
261QS1000X
Student Health Clinic/Center
MD203855
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093840
—
LA
Enumeration date
06/17/2016
Last updated
06/17/2016
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