Organization
MARILLAC COMMUNITY HEALTH CENTERS
Active
Other names
DePaul Community Health Centers-St. Augustine High School
Organization subpart
No
Provider details
NPI number
Authorized official
RANDELYN HUNT (CREDENTIALING SPECIALIST)
(504) 207-3059
Entity
Organization
Contact information
Practice address
2600 A P TUREAUD AVE, NEW ORLEANS, LA 70119-1208
(504) 282-0089
(504) 282-0338
Mailing address
PO BOX 13038, NEW ORLEANS, LA 70185-3038
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/22/2022
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