Organization Name: | MARILLAC COMMUNITY HEALTH CENTERS |
NPI Number: | 1497173967 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL GRIFFIN (CEO/PRESIDENT) |
Mailing Address: | 100 Warrington Dr. New Orleans |
State: | LA US |
Postal Code: | 70122 |
Phone Number: | 5042820089 |
Fax Number: | 5042820338 |
NPI Enumeration Date: | 04/02/2014 |
NPI Last Update Date: | 04/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD.201092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |