Organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Other names
Vernon Parish Community 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
298 NOLAN TRACE PKWY., LEESVILLE, LA 71446
(337) 365-4945
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 376-6860
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NO NUMBERS RECEIVED YET-NEW APPLICATION
—
Enumeration date
03/29/2018
Last updated
12/01/2021
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