IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC. (NPI# 1821286899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821286899 |
Entity Type | Organization |
Organization Name | IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC. |
Other Organization Name | ST. MARTIN PARISH COMMUNITY HEALTH CENTER |
Practice Address |
317 Dernier Street St. Martinville LA 70582 |
Practice Telephone | 3373654945 |
Practice Fax Number | 3373673917 |
Enumeration Date | 2007-10-04 |
Last Update Date | 2008-04-15 |
Authorized Official Name | MR. RODERICK CAMPBELL (CEO) |
Authorized Official Telephone | 3373654945 |
Authorized Official Credential | MBA/HCM |
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 | 1028088 | 05 |
Other Name | Type Code |
---|---|
ST. MARTIN PARISH COMMUNITY HEALTH CENTER | 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 |
1114341666 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 1050 N Robinson St, Many, LA 71449-3536 | 2014-02-04 |
1134166556 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 1009 Charity St, Abbeville, LA 70510-5302 | 2006-06-02 |
Street Address |
317 DERNIER STREET |
City | ST. MARTINVILLE |
State | LA |
Zip Code | 70582 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275069700 | Kolbi Senegal | Behavioral Analyst | 124 Abigayles Row, Scott, LA 70582 | 2017-05-03 |
1679021869 | Jonathan Skipper | Case Manager/Care Coordinator | 142 Labbe St, Saint Martinville, LA 70582 | 2016-09-15 |
1598120255 | Catina Marie Solomon | Counselor | 227 Maryann Street, St Martinville, LA 70582 | 2015-12-23 |
1306260385 | Change & Healing In Counseling Specialty Group, LLC | Counselor | 1125 Elliot Loop, Saint Martinville, LA 70582 | 2014-02-11 |
1295069193 | Partners In Healthcare, LLC | Nurse Practitioner | 407 N. Main St., St. Martinville, LA 70582 | 2009-09-24 |
1588819601 | A Caring Home Care Services LLC | Home Health | 205 W. Bridge Street, St. Martinville, LA 70582 | 2008-11-18 |
1750563557 | Christy Quates Crovetto | Nurse Practitioner | 720 N Main Street, St. Martinville, LA 70582 | 2007-12-04 |
1013133586 | St. Martin Parish School Board | Local Education Agency (LEA) | 720 North Main Street, St. Martinville, LA 70582 | 2007-04-17 |
1346345519 | Lafayette Health Ventures, Inc. | Specialist | 1027 A Martin St., Parks, LA 70582 | 2006-09-13 |
1881625101 | Rami G. Brignac | Pharmacist | 1027 Martin Street, Parks, LA 70582 | 2006-07-05 |
Find all providers in zip 70582 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
Find all providers with the same taxonomy |
City | ST. MARTINVILLE |
Zip Code | 70582 |
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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.