DEPAUL COMMUNITY HEALTH CENTERS- SOPHIE B. WRIGHT CHARTER SCHOOL – NPI #1669108767
Clinic/Center

DEPAUL COMMUNITY HEALTH CENTERS- SOPHIE B. WRIGHT CHARTER SCHOOL is an AHC clinic located in NEW ORLEANS, LA. NPPES has assigned the NPI number 1669108767 to DEPAUL COMMUNITY HEALTH CENTERS- SOPHIE B. WRIGHT CHARTER SCHOOL on July 29, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DEPAUL COMMUNITY HEALTH CENTERS- SOPHIE B. WRIGHT CHARTER SCHOOL” is a dba name, the actual legal business name for this organization is MARILLAC COMMUNITY HEALTH CENTERS. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Nov 22, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEPAUL COMMUNITY HEALTH CENTERS- SOPHIE B. WRIGHT CHARTER SCHOOL below.

NPI Profile for
MARILLAC COMMUNITY HEALTH CENTERS

NPI Number
1669108767
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARILLAC COMMUNITY HEALTH CENTERS
Doing Business As (dba): DEPAUL COMMUNITY HEALTH CENTERS- SOPHIE B. WRIGHT CHARTER SCHOOL
Primary location
1426 NAPOLEON AVE
NEW ORLEANS, LA 70115
Phone: (504) 212-9548 Fax:
Mailing address
3201 S CARROLLTON AVE
NEW ORLEANS, LA 70118-4307
Phone: (504) 212-9548 Fax:
Organization Subpart
No
Authorized Official
TRACY SMITH
HR GENERALIST
Phone: (504) 212-9548
Updated
Certification Date
Sep 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.