NPIMap

Organization Active NPI

Excelth, Inc

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
National Provider Identifier
1376096347
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EXCELTH, INC
Practice address
1515 Poydras St Ste 1070
New Orleans, LA 70112-4520
Phone
(504) 524-1210
Fax
(504) 524-1971
NPI assigned
Jul 26, 2016
Last updated
Jul 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Mr. Michael Andry
Title
Ceo
Phone
(504) 524-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1515 Poydras St Ste 1070
New Orleans, LA 70112-4520

Mailing address

4560 North Blvd, Suite 104
Batron Rouge, LA 70860
Phone (225) 201-9862

National Provider Directory

National Provider Directory
Tax ID family
Excelth Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

4560 North Blvd
Ste 104
Baton Rouge, LA 70806
Phone (225) 201-9862

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1376096347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 NORTH BLVD, SUITE 104",
            "city": "BATRON ROUGE",
            "state": "LA",
            "postal_code": "70860",
            "telephone_number": "225-201-9862",
            "fax_number": "225-201-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 POYDRAS ST STE 1070",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701124520",
            "telephone_number": "504-524-1210",
            "fax_number": "504-524-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "ANDRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-524-1210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 26, 2016; 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.