CARVER COMMUNITY CLINIC LLC NPI 1225488562

NPI Information

NPI: 1225488562
Provider Name: CARVER COMMUNITY CLINIC, LLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 19D2115268
Address: 3059 HIGGINS BLVD
NEW ORLEANS, LA
ZIP 70126
Phone: (504) 520-0203

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NPI Details

CARVER COMMUNITY CLINIC, LLC is a primary care clinic center in New Orleans, LA. CARVER COMMUNITY CLINIC, LLC NPI is 1225488562. The provider is registered as an organization entity type.

The provider's business location address is:

3059 HIGGINS BLVD
NEW ORLEANS, LA
ZIP 70126-422
Phone: (504) 520-0203

The provider's authorized official is Stephen T Jones .
The authorized official title is Medical Director and has the following contact phone number (504) 520-0203.

The CLIA number assigned to this NPI record is 19D2115268 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2016 and was last updated on 6/17/2016.

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
1	261QS1000X	Clinic/Center	Student Health	MD203855	LOUISIANA	No
2	261QP2300X	Clinic/Center	Primary Care	MD203855	LOUISIANA	Yes

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
1	1093840	MEDICAID	LOUISIANA
2	4Q989	MEDICARE PIN

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: 11/21/2025

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