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Marillac Community Health Centers

Organization Active NPI Federally Qualified Health Center (FQHC) · New Orleans, LA

NPI 1508312265 · NPPES record last updated Nov 22, 2022

Key facts

NPI
1508312265
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
MARILLAC COMMUNITY HEALTH CENTERS
Practice address
6905 Chef Menteur Hwy
New Orleans, LA 70126-5215
Phone
(504) 207-3060
Fax
(504) 483-6016
NPI assigned
Aug 31, 2016
Organization subpart
No

Authorized official

Name
Michael Griffin
Title
President/Ceo
Phone
(504) 207-3060

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Marillac Comm HLTH Centers (69 organizations share this tax ID)

Locations

1512 Chemin Metairie Rd
Ste B
Youngsville, LA 70592
Phone (337) 704-7047

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 1041C0700X
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

6905 Chef Menteur Hwy
New Orleans, LA 70126-5215

Mailing address

PO Box 13038
New Orleans, LA 70185-3038
Phone (504) 207-3059

Other names

  • DePaul Community Health Centers-St. Mary's Academy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 22, 2022.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1508312265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13038",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701853038",
            "telephone_number": "504-207-3059",
            "fax_number": "504-212-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 CHEF MENTEUR HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701265215",
            "telephone_number": "504-207-3060",
            "fax_number": "504-483-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILLAC COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2022-11-22",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "504-207-3060"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DePaul Community Health Centers-St. Mary's Academy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DePaul Community Health Centers-St. Mary's Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

All providers in New Orleans, LA · Federally Qualified Health Center (FQHC) in Louisiana

Sources for this page

Verify at the official NPI Registry.