Organization
MQVN COMMUNITY DEVELOPMENT CORPORATION
Active
Other names
New Orleans East Louisiana Community Health Center - Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DIEM NGUYEN PHARMD (CEO)
(504) 255-8665
Entity
Organization
Contact information
Practice address
13085 CHEF MENTEUR HWY, NEW ORLEANS, LA 70129-1804
(504) 309-8390
Mailing address
4626 ALCEE FORTIER BLVD, SUITE E, NEW ORLEANS, LA 70129-2130
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2348663
—
LA
Enumeration date
09/05/2013
Last updated
12/11/2014
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