NPIMap

Organization Active NPI

St. Thomas Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
National Provider Identifier
1295757326
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ST. THOMAS COMMUNITY HEALTH CENTER, INC
Practice address
1020 Saint Andrew St
New Orleans, LA 70130-5022
Phone
(504) 529-5558
Fax
(504) 529-8840
NPI assigned
Jul 25, 2006
Last updated
Nov 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Dr. Donald T. Erwin, M.D.NPI 1821012352
Title
Ceo
Phone
(504) 529-5558

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
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Optometrist 152W00000X NU
Internal Medicine Physician 207R00000X LA

Addresses

Primary practice location

1020 Saint Andrew St
New Orleans, LA 70130-5022

Mailing address

1020 Saint Andrew St
New Orleans, LA 70130-5022
Phone (504) 529-5558

Other identifiers 1

IdentifierTypeStateIssuer
1342921MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070425000464 LA Part B Supplier - Clinic/Group Practice 8527163211 Receives reassigned benefits from 58 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gretna, LA; New Orleans, LA
O20090612000558 LA Part A Provider - Federally Qualified Health Center (FQHC) 8527163211 Practice locations: New Orleans, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295757326. Details of each certification follow.

Federally qualified health center certification: CCN 191868

Legal name
ST. THOMAS COMMUNITY HEALTH CENTER INC
Doing business as
ST. THOMAS COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 19, 2009
Last certification
Jun 19, 2009
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Apr 20, 2006 in LA
Enrollment address
1020 Saint Andrew St
New Orleans, LA 70130-5022

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2010 Magazine St
New Orleans, LA 70130

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mary M Abell Individual Corporate OfficerCeo Mar 1, 2009
W-2 Managing EmployeeCeo Mar 1, 2009
Phuong Tran Individual Corporate DirectorSr VP of Information Technology Mar 1, 2009
W-2 Managing Employee Mar 1, 2009
Robert a Darrow Individual Corporate OfficerCfo Nov 1, 2014
W-2 Managing EmployeeCfo Jul 1, 2012
St. Thomas Community Health Center Inc Organization, New Orleans, LA Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2009
Donald T Erwin Individual Corporate OfficerCeo Jul 1, 2010 100%

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Thomas Community Health CenterNew Orleans, LA, CCN 191893 Federally qualified health center Operational/Managerial Control (100%) Apr 20, 2006
St. Thomas Community Health CenterNew Orleans, LA, CCN 191912 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Nov 1, 2013
Oct 8, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1295757326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SAINT ANDREW ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305022",
            "telephone_number": "504-529-5558",
            "fax_number": "504-525-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SAINT ANDREW ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305022",
            "telephone_number": "504-529-5558",
            "fax_number": "504-529-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. THOMAS COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-529-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1342921",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.