Healthcare Provider Details

I. General information

NPI: 1730828419
Provider Name (Legal Business Name): ST. THOMAS COMMUNITY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 06/01/2022
Certification Date: 05/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 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: 504-592-3976
Mailing address:
  • Phone: 504-529-5558
  • Fax: 504-372-0758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

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