| NPI | 1902214133 |
|---|---|
| Doing Business As | ST CHARLES CHC - 1057 PAUL MAILLARD |
| 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 | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA md.04201R) |
| 207RN0300X Internal Medicine, Nephrology (Licence: LA md.03945R) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2016-08-08 |