Organization
SOUTHWEST LOUISIANA PRIMARY HEALTH CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DODIE LAMOTT (CHIEF EXECUTIVE OFFICER)
(337) 942-3390
Entity
Organization
Contact information
Practice address
8762 HIGHWAY 182, OPELOUSAS, LA 70570-5603
(337) 942-2005
(337) 942-8644
Mailing address
PO BOX 1815, OPELOUSAS, LA 70571-1815
(337) 942-2005
(337) 942-8644
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1941859
—
LA
Enumeration date
03/01/2007
Last updated
08/14/2015
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