IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC. (NPI# 1235634486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235634486 |
| Entity Type | Organization |
| Organization Name | IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | VERNON PARISH COMMUNITY HEALTH CENTER |
| Practice Address |
298 Nolan Trace Pkwy. Leesville LA 71446 |
| Mailing Address |
806 Jefferson Ter New Iberia LA 70560-5727 |
| Practice Telephone | 3373654945 |
| Mailing Telephone | 3373654945 |
| Mailing Fax Number | 3373766860 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |
| Authorized Official Name | RODERICK CHARLES CAMPBELL (CEO) |
| Authorized Official Telephone | 3373654945 |
| 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 |
|---|---|---|---|
| NO NUMBERS RECEIVED YET-NEW APPLICATION | 00000 | 01 |
| Other Name | Type Code |
|---|---|
| Vernon Parish Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1134166556 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 1009 Charity St, Abbeville, LA 70510-5302 | 2006-06-02 |
| Street Address |
298 NOLAN TRACE PKWY. |
| City | LEESVILLE |
| State | LA |
| Zip Code | 71446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699399048 | Just Health | Clinic/Center | 1203 South Fourth St, Leesville, LA 71446 | 2020-06-02 |
| 1487298964 | Usafetrans | Non-emergency Medical Transport (VAN) | 9348 Shreveport Hwy, Leesville, LA 71446 | 2019-10-29 |
| 1598280810 | Heather Wisby | Nurse Practitioner | 919 S. 10th St., Leesville, LA 71446 | 2017-08-08 |
| 1487183802 | Cathryn Lea Gaur | Speech-Language Pathologist | 300 Nolan Trace, Leesville, LA 71446 | 2017-06-08 |
| 1356708515 | Jessica Slaughter | Counselor | 1808 S 5th St, Suite A, Leesville, LA 71446 | 2016-01-19 |
| 1366820714 | Companion Care of Southwest Louisiana | In Home Supportive Care | 407 B North 5th Street, Leesville, LA 71446 | 2015-05-18 |
| 1760887673 | Great River Orthopedic and Sports Medicine Center, Inc. | Orthopaedic Surgery | 800 S. 3rd St., Leesville, LA 71446 | 2014-11-04 |
| 1003244781 | Byrd Regional Hospital | General Acute Care Hospital | 1020 W. Fertitta Blvd., Leesville, LA 71446 | 2013-10-16 |
| 1447500293 | Jana N Lambert | Nurse Practitioner | 919 S. 10th St, Leesville, LA 71446 | 2012-09-19 |
| 1720346943 | Antqualene Lavette Johnson | Physician Assistant | 2260 Glory Loop, Bldg 1260, Fort Polk, LA 71446 | 2012-04-25 |
| Find all providers in zip 71446 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1336460948 | Eau Claire Coopertive Health Center, Inc. | Clinic/Center | 338 E Columbia Ave, Suite B, Leesville, SC 29070-9285 | 2010-06-17 |
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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 |
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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.