| NPI | 1699114991 |
|---|---|
| Doing Business As | EXCELTH FAMILY HEALTH CENTER |
| 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) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 122300000X Dentist | |
| 171M00000X Case Manager/Care Coordinator | |
| 207K00000X Allergy & Immunology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208D00000X General Practice | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-01-22 |