NPI | 1134440977 |
---|---|
Doing Business As | EXCELTH FAMILY HEALTH CENTER-GENTILLY |
Entity Type | Organization |
Authorized Contact | MATILDA A TENNESSEE Revenue Cycle Manager 504-524-1210 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-06-16 |
Last Update Date | 2024-01-22 |