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General NPI Number Information
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NPI Number | 1326953951
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Entity Type | Organization
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Legal Business Name | MARILLAC COMMUNITY HEALTH CENTERS
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 145 W WATERMAN ST
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City | DUMAS
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State | AR
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Zip | 71639-2139
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Country | US
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Telephone | 870-382-3080
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Fax | 870-382-4895
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Provider Business Mailing Address
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Address Line | PO BOX 13038
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City | NEW ORLEANS
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State | LA
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Zip | 70185-3038
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Country | US
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Telephone | 504-207-3060
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Fax | 504-483-6016
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Authorized Official
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Title or Position | PRESIDENT - CEO
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Name | MICHAEL GRIFFIN
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Credential |
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Telephone | 504-207-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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