Organization
COMMON GROUND HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLEETHA LANKSTER-SMITH (CEO)
(504) 361-9800
Entity
Organization
Contact information
Practice address
3737 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-8205
(504) 361-9800
Mailing address
441 WALL BLVD, GRETNA, LA 70056-7723
(504) 361-9800
(504) 368-9836
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QF0400X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356241
—
LA
Enumeration date
04/18/2014
Last updated
12/22/2021
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