Organization
THE CITY OF NEW ORLEANS
Active
Other names
Health Care for the Homeless CRRC, Community Resource and Referral Center
Organization subpart
No
Provider details
NPI number
Authorized official
TEVINCE FOREST (ACCOUNTANT)
(504) 658-2576
Entity
Organization
Contact information
Practice address
1530 GRAVIER STREET, NEW ORLEANS, LA 70112
(504) 658-2785
(504) 658-2874
Mailing address
2222 SIMON BOLIVAR AVE FL 2, NEW ORLEANS, LA 70113-1460
(504) 658-2785
(504) 658-2876
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7260000969
—
LA
Enumeration date
06/18/2014
Last updated
10/15/2019
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