NPIMap

Organization Active NPI

Elishas Medical Healthcare Service

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
National Provider Identifier
1265467799
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ELISHAS MEDICAL HEALTHCARE SERVICE
Practice address
3308 Tulane Ave Ste 411
New Orleans, LA 70119-7100
Phone
(504) 821-9111
Fax
(504) 821-9198
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Elisha HatchNPI 1609026970
Title
Owner
Phone
(504) 821-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Medical Specialty Clinic/Center 261QM2500X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

3308 Tulane Ave Ste 411
New Orleans, LA 70119-7100

Mailing address

3025 Whitty Dr
Slidell, LA 70461-1380
Phone (504) 821-9111

Other names 1

  • mecca medical healthcare service Doing business as

National Provider Directory

National Provider Directory

Locations

3308 Tulane Ave
Ste 411
New Orleans, LA 70119
Phone (504) 821-9111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1265467799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 WHITTY DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704611380",
            "telephone_number": "504-821-9111",
            "fax_number": "504-821-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 TULANE AVE STE 411",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197100",
            "telephone_number": "504-821-9111",
            "fax_number": "504-821-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISHAS MEDICAL HEALTHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-821-9111"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mecca medical healthcare service",
            "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 Jun 18, 2008; 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.