Provider Demographics
NPI:1700358546
Name:CITY OF NEW ORLEANS
Entity Type:Organization
Organization Name:CITY OF NEW ORLEANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-658-2787
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:504-658-2576
Mailing Address - Fax:504-658-2874
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:504-658-2785
Practice Address - Fax:504-658-2874
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF NEW ORLEANS HEALTH CARE FOR THE HOMELESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)