IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.


Address: 317 Dernier Street, St. Martinville, LA 70582
Phone: 3373654945

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).

Provider Overview

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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1028088 05

Other Provider/Organization Names

Other Name Type Code
ST. MARTIN PARISH COMMUNITY HEALTH CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 317 DERNIER STREET
City ST. MARTINVILLE
State LA
Zip Code 70582

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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1184239642 Access Health Louisiana Clinic/Center 1400 Huey P Long Ave, Gretna, LA 70053-6436 2020-09-11
1770198681 Marillac Community Health Centers Clinic/Center 4000 Cadillac St, New Orleans, LA 70122-1117 2020-09-09
1528673308 Marillac Community Health Centers Clinic/Center 5800 Saint Roch Ave, New Orleans, LA 70122-5336 2020-09-09
1013522879 Marillac Community Health Centers Clinic/Center 1423 Saint Philip St, New Orleans, LA 70116-2933 2020-09-09
1669086690 Marillac Community Health Centers Clinic/Center 1908 Short St, Kenner, LA 70062-7550 2020-09-08
1023629425 Winn Community Health Center, Inc. Clinic/Center 2200 N Bolton Ave, Alexandria, LA 71303-4407 2020-08-11
1467061515 Council for Advancement of Social Service and Education Clinic/Center 1560 Irving Place, Shreveport, LA 71101-4604 2020-07-24
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Competitor

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City ST. MARTINVILLE
Zip Code 70582

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Dataset Information

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.

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