Organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Other names
Iberia Comprehensive Vision Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Authorized official
DARNELL ANN BOUDREAUX (DIRECTOR OF HEALTH INFORMATION)
(337) 365-4945
Entity
Organization
Contact information
Practice address
1110 ANGERS ST, NEW IBERIA, LA 70563-2012
(337) 364-0425
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
09/26/2023
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