MEDICARE: ALGIERS CHARTER SCHOOLS ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse
2	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1023319720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALGIERS CHARTER SCHOOLS ASSOCIATION

Provider Business Mailing Address
First Line	:	3712 MACARTHUR BLVD STE 100-A
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-6802
Country	:	US
Telephone Number	:	504-302-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3332 HUNTLEE DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70131-7046
Country	:	US
Telephone Number	:	504-302-7135
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. STUART GAY
Credential	:
Telephone Number	:	504-302-7021

Provider Enumeration Date	:	11/11/2010
Last Update Date	:	11/11/2010

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