Organization Active NPI

Common Ground Health Clinic

  • Primary Care Clinic/Center
  • New Orleans, LA
National Provider Identifier
1972739191
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMMON GROUND HEALTH CLINIC
Practice address
1400 Teche St
New Orleans, LA 70114-5843
Phone
(504) 365-8800
Fax
(504) 368-9836
NPI assigned
Jun 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Antor Odu Ndep, MPH
Title
Executive Director
Phone
(504) 365-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X LA Primary

Addresses

Primary practice location

1400 Teche St
New Orleans, LA 70114-5843

Mailing address

1400 Teche St
New Orleans, LA 70114-5843
Phone (504) 365-8800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1972739191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 TECHE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701145843",
            "telephone_number": "504-365-8800",
            "fax_number": "504-368-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 TECHE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701145843",
            "telephone_number": "504-365-8800",
            "fax_number": "504-368-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GROUND HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "NDEP",
        "authorized_official_first_name": "ANTOR",
        "authorized_official_middle_name": "ODU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-365-8800",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 2, 2009; 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.