Organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Other names
SABINE COMPREHENSIVE HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Authorized official
MR. RODERICK CAMPBELL MBA (CEO)
(337) 365-4945
Entity
Organization
Contact information
Practice address
1050 N ROBINSON ST, MANY, LA 71449-3536
(318) 256-8150
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 367-3917
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355023
—
LA
Enumeration date
02/04/2014
Last updated
12/01/2021
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