Organization · Type 2 NPI

Marillac Community Health Centers

Federally Qualified Health Center (FQHC) · Metairie, LA

NPI number 1053089110 Active

Practice location

3116 6th St Ste 101
Metairie, LA 70002-1762

Call (504) 837-9000 Map

Fax (504) 837-8293

Mailing address

PO Box 13038
New Orleans, LA 70185-3038

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Marillac Community Health CentersPediatrics Physician Metairie, LA NPI 1316610736

Other federally qualified health center (fqhc) providers in Metairie

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NPI record

NPI: 1053089110
Entity type: Organization (Type 2)
Issued: Sep 2, 2021
Last updated: May 24, 2023
Status: Active

Other names

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Depaul Community Health Centers · doing business as
Depaul Community Health Centers · doing business as

Authorized official

Michael Griffin
President/ceo
(504) 207-3060

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053089110

Marillac Community Health Centers's National Provider Identifier is 1053089110, issued on Sep 2, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Metairie, LA. The record was last updated on May 24, 2023.