Organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER INC
Active
Parent organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER INC
Other names
SURREY STREET COMMUNITY HEALTH CENTER #1
Organization subpart
Yes
Provider details
NPI number
Legal business name
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER INC
Authorized official
MR. RODERICK CAMPBELL MBA (CEO)
(337) 365-4945
Entity
Organization
Contact information
Practice address
1004 SURREY ST, LAFAYETTE, LA 70501-6143
(337) 456-6768
(337) 456-8690
Mailing address
1004 SURREY ST, LAFAYETTE, LA 70501-6143
(337) 456-6768
(337) 456-8690
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/19/2011
Last updated
01/31/2024
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