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NPI Code Detail

MEDICARE: ST. THOMAS COMMUNITY HEALTH CENTER, INC.

MEDICARE: ST. THOMAS COMMUNITY HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207V00000XObstetrics & Gynecology Physician
3208000000XPediatrics Physician
4261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1003185125
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. THOMAS COMMUNITY HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 1020 SAINT ANDREW ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-5022
Country : US
Telephone Number : 504-529-5558
Fax Number : 504-595-5020
Provider Business Practice Location Address
First Line : 1936 MAGAZINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-5016
Country : US
Telephone Number : 504-529-5558
Fax Number : 504-595-5020
Authorized Official
Title or Position : CEO
Name : DONALD T. ERWIN
Credential : M.D.
Telephone Number : 504-529-5558
Provider Enumeration Date : 12/19/2011
Last Update Date : 11/17/2022

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