Provider Demographics
NPI:1043427693
Name:CITY OF NEW ORLEANS
Entity Type:Organization
Organization Name:CITY OF NEW ORLEANS
Other - Org Name:HEALTH CARE FOR THE HOMELESS PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-565-7287
Mailing Address - Street 1:2222 SIMON BOLIVAR AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1460
Mailing Address - Country:US
Mailing Address - Phone:504-565-7283
Mailing Address - Fax:504-565-8057
Practice Address - Street 1:2222 SIMON BOLIVAR AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1460
Practice Address - Country:US
Practice Address - Phone:504-565-7283
Practice Address - Fax:504-565-8057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1940810Medicaid
LA191802Medicare ID - Type UnspecifiedFQHC