Organization
SOUTHWEST LOUISIANA PRIMARY HEALTH CARE CENTER INC
Active
Other names
Northside Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DODIE LAMOTT C E O (EXECUTIVE DIRECTOR)
(337) 942-3390
Entity
Organization
Contact information
Practice address
1800 LOUISIANA AVE, LAFAYETTE, LA 70501-3702
(337) 942-3390
(337) 942-8644
Mailing address
PO BOX 1815, OPELOUSAS, LA 70571-1815
(337) 942-3390
(337) 942-8644
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
04/28/2017
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