Organization
SWLA CENTER FOR HEALTH SERVICES
Active
Other names
SWLA Center for Health Services- Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
JAMYA A MOUTON (CREDENTIALING SPECIALIST)
(337) 769-9451
Entity
Organization
Contact information
Practice address
500 PATTERSON ST, LAFAYETTE, LA 70501-1849
(337) 769-9451
(337) 769-9460
Mailing address
2000 OPELOUSAS STREET, LAKE CHARLES, LA 70601
(337) 439-9983
(337) 497-2556
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1359301
—
LA
Enumeration date
12/05/2007
Last updated
03/27/2025
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