NPIMap

Organization Active NPI

Medical Center of Louisiana at New Orleans

  • Community Health Clinic/Center
  • New Orleans, LA
National Provider Identifier
1154624468
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
191-J Issued in LA
Legal business name
MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS
Practice address
725 Vallette St
New Orleans, LA 70114-4347
Phone
(504) 903-2373
NPI assigned
Dec 8, 2010
Organization subpart
Yes
Parent organization
MEDICAL CENTER OF LOUISIANA AT NEW ORLEANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roxane A. Townsend, M.D.
Title
Interim Chief Executive Officer
Phone
(504) 903-4907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 191-J LA Primary

Addresses

Primary practice location

725 Vallette St
New Orleans, LA 70114-4347

Mailing address

2021 Perdido St
New Orleans, LA 70112-1352
Phone (504) 903-5153

Other identifiers 1

IdentifierTypeStateIssuer
1765651MedicaidLA

Other names 1

  • MCLNO - Martin Behrman Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Richard a Barrow8 organizations share this tax ID, including this one
Part of
Richard a Barrow

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1154624468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 PERDIDO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121352",
            "telephone_number": "504-903-5153",
            "fax_number": "504-680-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 VALLETTE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701144347",
            "telephone_number": "504-903-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "ROXANE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "INTERIM CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "504-903-4907",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "LA",
            "license": "191-J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1765651",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCLNO - Martin Behrman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.