Provider Demographics
NPI:1003185125
Name:ST. THOMAS COMMUNITY HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:ST. THOMAS COMMUNITY HEALTH CENTER, INC.
Other - Org Name:ST. THOMAS COMMUNITY HEALTH CENTER ERWIN BLDG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:T
Authorized Official - Last Name:ERWIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-529-5558
Mailing Address - Street 1:1020 SAINT ANDREW ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5022
Mailing Address - Country:US
Mailing Address - Phone:504-529-5558
Mailing Address - Fax:504-595-5020
Practice Address - Street 1:1936 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5016
Practice Address - Country:US
Practice Address - Phone:504-529-5558
Practice Address - Fax:504-595-5020
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. THOMAS COMMUNITY HEALTH CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-19
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty