Organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER,INC.
Active
Parent organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Other names
MERRYVILLE COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Authorized official
MRS. NICOLE ROBERSON MBA (HEALTH INFORMATION MANAGER)
(337) 365-4945
Entity
Organization
Contact information
Practice address
567 WALKER STREET, MERRYVILLE, LA 70653
(337) 365-4945
(337) 367-3917
Mailing address
567 WALKER STREET, MERRYVILLE, LA 70653
(337) 365-4945
(337) 367-3917
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803570
—
LA
Enumeration date
10/06/2009
Last updated
12/01/2021
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