Provider Demographics
NPI:1790904555
Name:CITY OF NEW ORLEANS HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:CITY OF NEW ORLEANS HEALTH DEPARTMENT
Other - Org Name:ALGIERS COMMUNITY HEALTH CLINC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EVANGELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-658-2512
Mailing Address - Street 1:4422 GENERAL MEYER AVE
Mailing Address - Street 2:100
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-3588
Mailing Address - Country:US
Mailing Address - Phone:504-364-4067
Mailing Address - Fax:504-364-4077
Practice Address - Street 1:4422 GENERAL MEYER AVE
Practice Address - Street 2:100
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-3588
Practice Address - Country:US
Practice Address - Phone:504-364-4067
Practice Address - Fax:504-364-4077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QP0400X261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1941191Medicaid