Healthcare Provider Details

I. General information

NPI: 1730214214
Provider Name (Legal Business Name): CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 06/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 ARIS AVE
METAIRIE LA
70005-2207
US

IV. Provider business mailing address

1000 HOWARD AVE
NEW ORLEANS LA
70113
US

V. Phone/Fax

Practice location:
  • Phone: 504-837-6346
  • Fax: 504-837-6235
Mailing address:
  • Phone: 504-885-1141
  • Fax: 504-885-1519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MICHELLE BLACK
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 504-885-1141