NPI | 1720321169 |
---|---|
Doing Business As | ST TAMMANY COMMUNITY HEALTH CENTER COVINGTON |
Entity Type | Organization |
Authorized Contact | MARK KEISER President 504-575-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 104100000X Social Worker (Licence: LA 6521) |
207Q00000X Family Medicine (Licence: LA md.06533r) | |
Enumeration Date | 2013-04-04 |
Last Update Date | 2016-08-05 |