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Contact Information

IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER,INC.
567 WALKER STREET
MERRYVILLE, LA70653
 Phone: 337-365-4945
 Fax: 337-367-3917
 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 Number 1891020012
LBN Legal business name IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER,INC.
Authorized official NICOLE ROBERSON - (HEALTH INFORMATION MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/06/2009
Last updated 12/01/2021 - About 5 years ago
Identifiers
LA Medicaid 1803570
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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