Marillac Community Health Centers

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MARILLAC COMMUNITY HEALTH CENTERS

Practice address

400 Georgia Ave
Bogalusa, LA 70427-3866

Phone

(504) 207-3060

Fax

(504) 483-6016

NPI assigned

Aug 25, 2026

Organization subpart

No

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

Authorized official

Name

Michael Griffin

Title

President - Ceo

Phone

(504) 207-3060

Specialties & licenses 1

Addresses

Other names 1

• DePaul Community Health Centers - Bogalusa Doing business as

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1508773771",
    "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": "504-207-3060",
            "fax_number": "504-483-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GEORGIA AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273866",
            "telephone_number": "504-207-3060",
            "fax_number": "504-483-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILLAC COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "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": "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 - Bogalusa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tysha Montez Magee
• Dawn C. Malcom, FNP-C
• Jessica Oalmann Manchester, APRN-CNP
• Milton Mansfield
• Madeleine Leefe Maras, MD
• Jaleesha Martin
• Aerial R Mathews
• Tiffany Thorne Mayo, LCSW
• Meredith Rae McCullough
• Cassandra Danielle McElroy, APRN, FNP-BC

• Federally Qualified Health Center (FQHC) in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Federally Qualified Health Center (FQHC) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.