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Organization

SOUTHWEST LOUISIANA PRIMARY HEALTH CARE CENTER, INC

Active
Other names
All Kids Pediatric of Opelousas
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DODIE LAMOTT CEO (CHIEF EXECUTIVE OFFICER)
(337) 942-3390
Entity
Organization

Contact information

Practice address
920 N MAIN ST, OPELOUSAS, LA 70570-6402
(337) 942-3390
Mailing address
8762 HIGHWAY 182, OPELOUSAS, LA 70570-5603
(337) 942-3390

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
LA

Other

Enumeration date
05/16/2016
Last updated
05/16/2016
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