Provider Demographics
NPI:1619287687
Name:CITY OF NEW ORLEANS HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:CITY OF NEW ORLEANS HEALTH DEPARTMENT
Other - Org Name:ALGIERS COMMUNITY HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSING SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRAIN
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 2:5TH 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 1:1111 NEWTON ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-2500
Practice Address - Country:US
Practice Address - Phone:504-658-2550
Practice Address - Fax:504-364-5606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)