Marillac Community Health Centers

NPI #1720512247 in Harvey, Louisiana

Provider Information

NPI Number: 1720512247
Entity Type: Organization
Organization Name: Marillac Community Health Centers
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Apr 12, 2017
Last Updated: Mar 21, 2023

Practice Location

Address: 1629 WESTBANK EXPY
City: Harvey
State: Louisiana
ZIP Code: 70058-4363
Phone: (504) 367-8777

Authorized Official

Name: TANYELLE OATIS-GASKEW
Title: LEAD CREDENTIALING SPECIALIST
Phone: (504) 412-9546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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