Marillac Community Health Centers

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MARILLAC COMMUNITY HEALTH CENTERS

Doing business as

DePaul Community Health Centers-Saint Joan of Arc Roman Catholic Schoo

Practice address

919 Cambronne St
New Orleans, LA 70118-1121

Phone

(504) 282-0089

Fax

(504) 282-0338

NPI assigned

Oct 7, 2019

Last updated

Nov 22, 2022By the provider in NPPES

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-Saint Joan of Arc Roman Catholic Schoo Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912548330. Details of each certification follow.

• CCN 191026 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 191026

Legal name

DEPAUL COMMUNITY HEALTH CENTERS

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 19, 2020

Last certification

Mar 19, 2020

Ownership / control type

For profit – corporation

Facility address

919 Cambronne Street
New Orleans, LA 70118

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Marillac Community Health Centers

  dba Daughters of Charity Health Center-Gentilly

  • Specialist
  • New Orleans, LA
  • NPI 1497173967

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1912548330",
    "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": "919 CAMBRONNE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181121",
            "telephone_number": "504-282-0089",
            "fax_number": "504-282-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILLAC COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "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": "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-Saint Joan of Arc Roman Catholic Schoo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DePaul Community Health Centers-Saint Joan of Arc Roman Catholic Schoo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marillac Community Health Centers (Martin Behrman Charter School)
• Marillac Community Health Centers (Daughters of Charity Health Centers)
• Marillac Community Health Centers (Daughters of Charity Health Centers-Carrollton)
• Marillac Community Health Centers (Daughters of Charity Health Center - Carrollton GNOCHC)
• Marillac Community Health Centers (Daughters of Charity Health Center Carrollton Dental)
• Marillac Community Health Centers (DePaul Community Health Centers-Audubon Gentilly School)
• Marillac Community Health Centers (DCHC-Martin Berhman Fischer Campus)
• Marillac Community Health Centers (L.B. Landry High School)
• Marillac Community Health Centers (Daughters of Charity Health Center- New Orleans East)
• Lisa Marinello

• Federally Qualified Health Center (FQHC) in New Orleans, LA
• Providers in New Orleans, 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 Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.