Healthcare Provider Details

I. General information

NPI: 1194247825
Provider Name (Legal Business Name): ST. THOMAS COMMUNITY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 11/17/2022
Certification Date: 11/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 MAGAZINE ST
NEW ORLEANS LA
70130-5018
US

IV. Provider business mailing address

1936 MAGAZINE ST
NEW ORLEANS LA
70130-5016
US

V. Phone/Fax

Practice location:
  • Phone: 504-529-5558
  • Fax: 504-529-8840
Mailing address:
  • Phone: 504-529-5558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: DONALD T ERWIN
Title or Position: CEO
Credential: MD
Phone: 504-529-5558