Organization
PRIORITY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA BOUTTE DIOUBATE MSW, MSHCM (CEO)
(504) 309-6522
Entity
Organization
Contact information
Practice address
12 WESTBANK EXPY, GRETNA, LA 70053-3647
(504) 509-5437
(504) 509-4802
Mailing address
4700 WICHERS DR STE 306, MARRERO, LA 70072-3054
(504) 309-6522
(504) 309-6084
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3832461
—
LA
Enumeration date
09/27/2018
Last updated
08/13/2025
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