NPIMap

Organization Active NPI

MQVN Community Development Corporation

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
National Provider Identifier
1649605973
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MQVN COMMUNITY DEVELOPMENT CORPORATION
Practice address
13085 Chef Menteur Hwy
New Orleans, LA 70129-1804
Phone
(504) 309-8390
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Diem Nguyen, PHARMD
Title
Ceo
Phone
(504) 255-8665

Specialties & licenses 1

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

Addresses

Primary practice location

13085 Chef Menteur Hwy
New Orleans, LA 70129-1804

Mailing address

4626 Alcee Fortier Blvd
Suite E
New Orleans, LA 70129-2130

Other identifiers 1

IdentifierTypeStateIssuer
2348663MedicaidLA

Other names 1

  • New Orleans East Louisiana Community Health Center - Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MQVN Community Dev Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1649605973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 ALCEE FORTIER BLVD",
            "address_2": "SUITE E",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701292130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13085 CHEF MENTEUR HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701291804",
            "telephone_number": "504-309-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MQVN COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-255-8665",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2348663",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Orleans East Louisiana Community Health Center - Pediatrics",
            "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 Dec 11, 2014; 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.