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Organization

LIFE COAST COMMUNITY HEALTH CENTER INC

Active
Parent organization
LIFE COAST COMMUNITY HEALTH CENTER INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFE COAST COMMUNITY HEALTH CENTER INC
Authorized official
DIANE WEBRE (CLINIC MANAGER)
(985) 492-6170
Entity
Organization

Contact information

Practice address
605 ENTERPRISE DR STE C, HOUMA, LA 70360-5405
(985) 360-3755
(985) 879-4580
Mailing address
504 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 492-6170
(985) 492-6177

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
12/05/2022
Last updated
09/18/2025
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