Organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Other names
Abbeville Community Health Center School-Based Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Authorized official
RODERICK CHARLES CAMPBELL (CEO)
(337) 365-4945
Entity
Organization
Contact information
Practice address
6526 CHAISSON RD BLDG H, ABBEVILLE, LA 70510-5753
(337) 365-4945
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 364-0081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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