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Contact Information

IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
1009 CHARITY ST
ABBEVILLE, LA70510-5302
 Phone: 337-893-3443
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

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

NPI # 1134166556
LBN Legal business name IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Authorized official RODERICK CAMPBELL - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/02/2006
Last updated 12/01/2021 - About 5 years ago
Identifiers
LA Medicaid 1440825
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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