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Contact Information

IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
6526 CHAISSON RD BLDG H
ABBEVILLE, LA70510-5753
 Phone: 337-365-4945
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.

NPI Number 1023778800
LBN Legal business name IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Authorized official RODERICK CAMPBELL - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/21/2021
Last updated 12/21/2021 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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