Healthcare Provider Details

I. General information

NPI: 1730202110
Provider Name (Legal Business Name): CONTEMPORORY FAMILY HEALTH CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 11/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2426 SIMON BOLIVAR
NEW ORLEANS LA
70113
US

IV. Provider business mailing address

2475 CANAL STREET SUITE 303
NEW ORLEANS LA
70119
US

V. Phone/Fax

Practice location:
  • Phone: 504-571-1607
  • Fax: 504-571-1609
Mailing address:
  • Phone: 504-822-8262
  • Fax: 504-822-8264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BURNELL G LANGIE
Title or Position: ADMINISTRATOR
Credential:
Phone: 504-822-8262