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ELISHAS MEDICAL HEALTHCARE SERVICE NPI 1265467799


NPI Information

NPI: 1265467799
Provider Name: ELISHAS MEDICAL HEALTHCARE SERVICE

Doing Business As: MECCA MEDICAL HEALTHCARE SERVICE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3308 TULANE AVE STE 411
NEW ORLEANS, LA
ZIP 70119
Phone: (504) 821-9111
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ELISHAS MEDICAL HEALTHCARE SERVICE is a multi-specialty clinic center in New Orleans, LA. ELISHAS MEDICAL HEALTHCARE SERVICE NPI is 1265467799. The provider is registered as an organization entity type.
The provider Is Doing Business As Mecca Medical Healthcare Service.

The provider's business location address is:

3308 TULANE AVE STE 411
NEW ORLEANS, LA
ZIP 70119-100
Phone: (504) 821-9111
Fax: (504) 821-9198

The provider's authorized official is Elisha Hatch .
The authorized official title is Owner and has the following contact phone number (504) 821-9111.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyNo
2261QM2500XClinic/CenterMedical SpecialtyNo
3261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15CA13MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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