Provider Demographics
NPI:1013579804
Name:HOPE COMMUNITY HEALTH CENTER
Entity Type:Organization
Organization Name:HOPE COMMUNITY HEALTH CENTER
Other - Org Name:HOPE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-503-0878
Mailing Address - Street 1:PO BOX 50159
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70150-0159
Mailing Address - Country:US
Mailing Address - Phone:504-503-0878
Mailing Address - Fax:504-592-4009
Practice Address - Street 1:701 LOYOLA AVE STE 108
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1912
Practice Address - Country:US
Practice Address - Phone:504-503-0878
Practice Address - Fax:504-592-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2521241Medicaid