IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC. (NPI# 1134166556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134166556 |
| Entity Type | Organization |
| Organization Name | IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | ABBEVILLE COMMUNITY HEALTH CENTER |
| Practice Address |
1009 Charity St Abbeville LA 70510-5302 |
| Mailing Address |
1009 Charity Street Abbeville LA 70510-5239 |
| Practice Telephone | 3378933443 |
| Mailing Telephone | 3378933443 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | MR. RODERICK CAMPBELL (CEO) |
| Authorized Official Telephone | 3373654945 |
| Authorized Official Credential | MBA/HCA |
| Is Organization Subpart | Y |
| Parent Organization Name | IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER,INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1440825 | 05 |
| Other Name | Type Code |
|---|---|
| ABBEVILLE COMMUNITY HEALTH CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235634486 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 298 Nolan Trace Pkwy., Leesville, LA 71446 | 2018-03-29 |
| 1821286899 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 317 Dernier Street, St. Martinville, LA 70582 | 2007-10-04 |
| 1114341666 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 1050 N Robinson St, Many, LA 71449-3536 | 2014-02-04 |
| Street Address |
1009 CHARITY ST |
| City | ABBEVILLE |
| State | LA |
| Zip Code | 70510-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881686277 | Sarah U Laurente | Pediatrics | 1009 Charity St, Abbeville, LA 70510-5302 | 2005-08-22 |
| 1609273002 | Lisa Griffin | Nurse Practitioner | 1009 Charity St, Abbeville, LA 70510-5302 | 2014-12-01 |
| 1780019851 | Brooks Babineaux | Dentist | 1009 Charity St, Abbeville, LA 70510-5302 | 2013-09-09 |
| 1598794406 | Edison L Ong | Family Medicine | 1009 Charity St, Abbeville, LA 70510 | 2006-07-02 |
| 1073569638 | Diana Locsin Verdeflor | Nurse Practitioner | 1009 Charity St, Abbeville, LA 70510-5302 | 2006-05-25 |
| 1366408510 | Katherine D Delarosa | Internal Medicine | 1009 Charity St, Abbeville, LA 70510-5302 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922532209 | Desiree Thomas | Case Manager/Care Coordinator | 336 Sucre Cir, Abbeville, LA 70510 | 2017-04-13 |
| 1578821948 | Dyson & Dyson Inc. | Clinic/Center | 322 Messina St., Abbeville, LA 70510 | 2012-04-24 |
| 1154539518 | Claude H Meeks | Family Medicine | 2615 North Drive, Abbeville, LA 70510 | 2007-05-18 |
| 1922141050 | Dr Gerald Baudin Dds A Dental Corporation | Dentist | 2623 South Drive, Abbeville, LA 70510 | 2007-02-15 |
| 1922149434 | Edward R Chauvin Chiropractic, Ltd | Chiropractor | 1000 Wildcat Drive, Abbeville, LA 70510 | 2007-02-08 |
| 1811033558 | David Wayne Craft | Psychiatry & Neurology | 318 North Hospital Drive, Abbeville, LA 70510 | 2007-01-29 |
| 1356490049 | Diversified Healthcare Abbeville, LLC | Skilled Nursing Facility | 4000 Rodeo Rd., Abbeville, LA 70510 | 2007-01-10 |
| 1104902071 | Young Eye Surgery Center | Clinic/Center | 204 W Magdelen Square, Abbeville, LA 70510 | 2006-10-31 |
| 1962582221 | Dr. Robert Jackson Young IIi | Ophthalmology | 204 Magdalen Square, Abbeville, LA 70510 | 2006-10-17 |
| 1164430914 | Nguyen Chiropractic, Inc. | Chiropractor | 1720 Veterans Memorial Dr., Abbeville, LA 70510 | 2006-08-04 |
| Find all providers in zip 70510 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1770198681 | Marillac Community Health Centers | Clinic/Center | 4000 Cadillac St, New Orleans, LA 70122-1117 | 2020-09-09 |
| 1528673308 | Marillac Community Health Centers | Clinic/Center | 5800 Saint Roch Ave, New Orleans, LA 70122-5336 | 2020-09-09 |
| 1013522879 | Marillac Community Health Centers | Clinic/Center | 1423 Saint Philip St, New Orleans, LA 70116-2933 | 2020-09-09 |
| 1669086690 | Marillac Community Health Centers | Clinic/Center | 1908 Short St, Kenner, LA 70062-7550 | 2020-09-08 |
| 1023629425 | Winn Community Health Center, Inc. | Clinic/Center | 2200 N Bolton Ave, Alexandria, LA 71303-4407 | 2020-08-11 |
| 1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.