Organization · NPI-2

Excelth, Incorporated

Clinic/Center, Federally Qualified Health Center (FQHC) · New Orleans, LA

NPI number1003101346

StatusActive

Last updated in NPPESJan 22, 2024

Details

NPI: 1003101346
Entity type: Organization (NPI-2)
Legal business name: Excelth, Incorporated
Organization subpart: No
Enumeration date: Jun 15, 2011
Certification date: Jan 22, 2024
Last updated: Jan 22, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QF0400X	Clinic/Center, Federally Qualified Health Center (FQHC)	–	–	Yes
363A00000X	Physician Assistant	–	–
101YP2500X	Counselor, Professional	–	–
103T00000X	Psychologist	–	–
1041C0700X	Social Worker, Clinical	–	–
171M00000X	Case Manager/Care Coordinator	–	–
174H00000X	Health Educator	–	–
207K00000X	Allergy & Immunology	–	–
207Q00000X	Family Medicine	–	–
207R00000X	Internal Medicine	–	–
208000000X	Pediatrics	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
208D00000X	General Practice	–	–
213E00000X	Podiatrist	–	–

Other names

Excelth Family Health Center-Algiers (Doing Business As)

Practice location

4422 General Meyer Ave
Suite 103
New Orleans, LA 70131-3588

Phone 504-526-1179 · Fax 504-526-1200

Mailing address

1515 Poydras St
Suite 1070
New Orleans, LA 70112-3723

Phone 504-524-1210 · Fax 504-524-1491

Authorized official

Matilda A Tennessee
Rcm
5046582785

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.