NPIMap

Organization Active NPI

St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
National Provider Identifier
1730828419
Registry record updated Jun 1, 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
2000 Magazine St
New Orleans, LA 70130-5018
Phone
(504) 529-5558
Fax
(504) 592-3976
NPI assigned
Jun 1, 2022
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Dr. Donald T Erwin, MDNPI 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2000 Magazine St
New Orleans, LA 70130-5018

Mailing address

1936 Magazine St
New Orleans, LA 70130-5016
Phone (504) 529-5558

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
O20230901002202 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 1730828419. Details of each certification follow.

Federally qualified health center certification: CCN 191149

Legal name
ST. THOMAS COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 28, 2023
Last certification
Aug 28, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 20, 2006 in LA
Enrollment address
2000 Magazine St
New Orleans, LA 70130-5018

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
Tax ID family
St Thomas Community Health Center Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Calvin Johnson Individual Corporate DirectorBoard Member Apr 1, 2023
Ronald Vincent Chisom Individual Corporate DirectorBoard Member Apr 1, 2023
Lynette Brice Individual Corporate DirectorBoard Member Apr 1, 2023
Mary M Abell Individual Corporate OfficerMD, Assoc Ceo Apr 1, 2023
W-2 Managing Employee Apr 1, 2023
Alvin Edinburg Individual Corporate DirectorBoard Member Apr 1, 2023
Carol Salassi Individual Corporate DirectorBoard Member Apr 1, 2023
Richard V Milani Individual Corporate DirectorBoard Member Apr 1, 2023
Robert a Darrow Individual Corporate OfficerCfo Apr 1, 2023
Operational/Managerial Control Apr 1, 2023
Donald T Erwin Individual Corporate OfficerCeo Apr 1, 2023
Corporate DirectorCeo Apr 1, 2023

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 3

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 191868 Federally qualified health center 5% Or Greater Direct Ownership Interest Mar 1, 2009
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 3

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

Practitioners & affiliated clinicians

Practitioners 47

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 47

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1730828419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305016",
            "telephone_number": "504-529-5558",
            "fax_number": "504-372-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305018",
            "telephone_number": "504-529-5558",
            "fax_number": "504-592-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. THOMAS COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-20",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.