Organization
MARILLAC COMMUNITY HEALTH CENTERS
Active
Other names
DePaul Community Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRIFFIN (PRESIDENT/CEO)
(504) 207-3060
Entity
Organization
Contact information
Practice address
3128 CONSTANCE ST, NEW ORLEANS, LA 70115-2337
(504) 282-0089
(504) 282-0338
Mailing address
PO BOX 13038, NEW ORLEANS, LA 70185-3038
(504) 207-3060
(504) 483-6016
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
09/08/2020
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