Organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC
Active
Parent organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER,INC.
Other names
SURREY STREET COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER,INC.
Authorized official
MRS. MONIQUE DUMOND (CFO)
(337) 365-4945
Entity
Organization
Contact information
Practice address
1002 12TH ST, LAFAYETTE, LA 70501-6224
(375) 340-1073
(337) 534-0184
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
Enumeration date
02/28/2011
Last updated
12/01/2021
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