Provider Demographics
NPI:1265101281
Name:CITY OF NEW ORLEANS
Entity type:Organization
Organization Name:CITY OF NEW ORLEANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LUCY
Authorized Official - Last Name:AVEGNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-658-2518
Mailing Address - Street 1:2222 SIMON BOLIVAR AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1460
Mailing Address - Country:US
Mailing Address - Phone:504-658-2785
Mailing Address - Fax:
Practice Address - Street 1:2239 POYDRAS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7561
Practice Address - Country:US
Practice Address - Phone:504-658-2785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF NEW ORLEANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-13
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)