Provider Demographics
NPI:1689889339
Name:CITY OF NEW ORLEANS HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:CITY OF NEW ORLEANS HEALTH DEPARTMENT
Other - Org Name:IDA HYMEL HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF HEALTH DEPARTMENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:U
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD JD
Authorized Official - Phone:504-658-6913
Mailing Address - Street 1:517 N RAMPART ST FL 5
Mailing Address - Street 2:
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:504-364-4026
Practice Address - Fax:504-364-5606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1441449Medicaid