Organization
MHM URGENT CARE MID-CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LEBLANC SR. (CEO)
(504) 831-3112
Entity
Organization
Contact information
Practice address
231 N CARROLLTON AVE, SUITE B, NEW ORLEANS, LA 70119-5158
(504) 831-3112
(504) 831-3778
Mailing address
3510 N CAUSEWAY BLVD, SUITE 110, METAIRIE, LA 70002-3531
(504) 831-3112
(504) 831-3778
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355597
—
LA
01
—
341872
MEDICARE ID
LA
Enumeration date
12/26/2013
Last updated
10/02/2014
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