Organization
SOUTHWEST LOUISIANA PRIMARY HEALTH CARE CENTER INC
Active
Parent organization
SOUTHWEST LOUISIANA PRIMARY HEALTH CARE CENTER, INC
Other names
Beau Chene High School Based Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST LOUISIANA PRIMARY HEALTH CARE CENTER, INC
Authorized official
DODIE LAMOTT (CHIEF EXECUTIVE OFFICER)
(337) 942-3390
Entity
Organization
Contact information
Practice address
7076 HIGHWAY 93, ARNAUDVILLE, LA 70512-6020
(337) 942-3390
(337) 942-8644
Mailing address
8762 HIGHWAY 182, OPELOUSAS, LA 70570-5603
(337) 942-3390
(337) 942-8866
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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