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Organization

MARILLAC COMMUNITY HEALTH CENTERS

Active
Other names
DePaul Community Health Center - Central City
Organization subpart
No

Provider details

NPI number
Authorized official
TANYELLE OATIS-GASKEW (LEAD CREDENTIALING SPECIALIST)
(504) 482-4080
Entity
Organization

Contact information

Practice address
1300 ORETHA CASTLE HALEY BLVD, SUITE B, NEW ORLEANS, LA 70113-1001
(504) 899-5437
(504) 899-8668
Mailing address
PO BOX 13038, NEW ORLEANS, LA 70185-3038
(504) 207-3060
(504) 483-0616

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
06/20/2016
Last updated
12/18/2023
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