Organization
LIFE COAST COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WEBRE (CLINIC MANAGER)
(985) 492-6170
Entity
Organization
Contact information
Practice address
1302 LAKEWOOD DR STE 202, MORGAN CITY, LA 70380-1883
(985) 300-5438
(985) 380-1029
Mailing address
1101 AUDUBON AVE STE S1, THIBODAUX, LA 70301-4957
(985) 492-6170
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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