Organization
MARILLAC COMMUNITY HEALTH CENTERS
Active
Other names
DePaul Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TANYELLE OATIS-GASKEW (LEAD CREDENTIALING SPECIALIST)
(504) 412-9546
Entity
Organization
Contact information
Practice address
1629 WESTBANK EXPY, HARVEY, LA 70058-4363
(504) 367-8777
(504) 367-0133
Mailing address
PO BOX 13038, NEW ORLEANS, LA 70185-3038
(504) 207-3060
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
03/21/2023
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