Provider Demographics
NPI:1326358284
Name:CITY OF NEW ORLEANS
Entity Type:Organization
Organization Name:CITY OF NEW ORLEANS
Other - Org Name:HEALTH CARE FOR THE HOMELESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MATILDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:TENNESSEE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:504-658-2785
Mailing Address - Street 1:2222 SIMON BOLIVAR AVE., 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113
Mailing Address - Country:US
Mailing Address - Phone:504-658-2785
Mailing Address - Fax:504-658-2784
Practice Address - Street 1:2222 SIMON BOLIVAR AVE
Practice Address - Street 2:2ND FLOOR (HOMELESS)
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1460
Practice Address - Country:US
Practice Address - Phone:504-658-2785
Practice Address - Fax:504-658-2784
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF NEW ORLEANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-13
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)