Provider Demographics
NPI:1578873600
Name:CITY OF NEW ORLEANS HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:CITY OF NEW ORLEANS HEALTH DEPARTMENT
Other - Org Name:EDNA PILSBURY HEALTH CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERVISOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTER NURSE
Authorized Official - Phone:504-658-2532
Mailing Address - Street 1:517 N RAMPART ST
Mailing Address - Street 2:5ND FL
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-3503
Mailing Address - Country:US
Mailing Address - Phone:504-658-2618
Mailing Address - Fax:504-658-2633
Practice Address - Street 1:2222 SIMON BOLIVAR AVE
Practice Address - Street 2:2TH FL.
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1460
Practice Address - Country:US
Practice Address - Phone:504-658-2825
Practice Address - Fax:504-565-8057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service