IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC. (NPI# 1114341666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114341666 |
Entity Type | Organization |
Organization Name | IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC. |
Other Organization Name | SABINE COMPREHENSIVE HEALTH CLINIC |
Practice Address |
1050 N Robinson St Many LA 71449-3536 |
Mailing Address |
806 Jefferson Ter New Iberia LA 70560-5727 |
Practice Telephone | 3182568150 |
Mailing Telephone | 3373654945 |
Mailing Fax Number | 3373673917 |
Enumeration Date | 2014-02-04 |
Last Update Date | 2014-08-06 |
Authorized Official Name | MR. RODERICK CAMPBELL (CEO) |
Authorized Official Telephone | 3373654945 |
Authorized Official Credential | MBA |
Is Organization Subpart | Y |
Parent Organization Name | IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2355023 | 05 |
Other Name | Type Code |
---|---|
SABINE COMPREHENSIVE HEALTH CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235634486 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 298 Nolan Trace Pkwy., Leesville, LA 71446 | 2018-03-29 |
1821286899 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 317 Dernier Street, St. Martinville, LA 70582 | 2007-10-04 |
1134166556 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 1009 Charity St, Abbeville, LA 70510-5302 | 2006-06-02 |
Street Address |
1050 N ROBINSON ST |
City | MANY |
State | LA |
Zip Code | 71449-3536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194031237 | Grace Ekanem Dinvaut | Nurse Practitioner | 1050 N Robinson St, Many, LA 71449 | 2010-08-26 |
1013416007 | Dametra Danielle Taylor | Nurse Practitioner | 1050 N Robinson St, Many, LA 71449-3536 | 2018-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766563 | Bartley Enterprises | Pharmacy | 11634 Texas Hwy, Many, LA 71449 | 2020-10-02 |
1740836006 | Ltc Specialty LLC | Pharmacy | 536 Highway 171 Bypass, Many, LA 71449 | 2019-08-13 |
1134774144 | Hulin Urgent Care Services, LLC | Clinic/Center | 160 San Antonio Ave, Many, LA 71449 | 2019-08-06 |
1063965911 | Kristi Hammer | Counselor | 305 South Highland Dr, Many, LA 71449 | 2016-07-27 |
1477913374 | Kearstin Cooley | Physical Therapist | 326 Fisher Road, Many, LA 71449 | 2016-03-04 |
1861755167 | Frances Rose Strickland | Registered Nurse | 1230 W, La. Ave, Many, LA 71449 | 2012-06-21 |
1932404159 | Shelley Leanne Cartinez | Nurse Practitioner | 315 S. Highland Drive, Many, LA 71449 | 2011-01-19 |
1104134725 | Wal-mart Stores East Lp | Technician/Technologist | 25800 Hwy 171, Many, LA 71449 | 2010-09-16 |
1235314022 | Allegiance Hospital of Many, LLC | Clinic/Center | 395 South Capitol Street, Sabine Medical Center Rural Health Clinic #1, Many, LA 71449 | 2007-12-31 |
1245419654 | Melissa Ann Patton | Occupational Therapist | 2375 Patton Rd, Many, LA 71449 | 2007-11-01 |
Find all providers in zip 71449 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.