SWLA CENTER FOR HEALTH SERVICES (NPI# 1720014186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720014186 |
Entity Type | Organization |
Organization Name | SWLA CENTER FOR HEALTH SERVICES |
Other Organization Name | SWLA CENTER FOR HEALTH SERVICES |
Practice Address |
2000 Opelousas St Lake Charles LA 70601-2641 |
Practice Telephone | 3374399983 |
Practice Fax Number | 3374393224 |
Mailing Telephone | 3374399983 |
Mailing Fax Number | 3374393224 |
Enumeration Date | 2006-06-25 |
Last Update Date | 2019-05-13 |
Authorized Official Name | KOBRINA PRICE (REVENUE CYCLE MANAGER) |
Authorized Official Telephone | 3374935112 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
EI1843 | LA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1940828 | 05 |
Other Name | Type Code |
---|---|
SWLA Center for Health Services | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
1336383033 | Swla Center for Health Services | Clinic/Center | 526 Crowley Rayne Hwy, Crowley, LA 70526-8209 | 2009-04-24 |
1346743697 | Swla Center for Health Services | Clinic/Center | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2018-03-13 |
1942645007 | Swla Center for Health Services | Clinic/Center | 112 N. Sixth Street, Oberlin, LA 70655 | 2013-05-02 |
1740548601 | Swla Center for Health Services | Pharmacy | 500 Patterson St, Lafayette, LA 70501-1849 | 2012-04-30 |
1376725952 | Swla Center for Health Services | Clinic/Center | 500 Patterson Street, Lafayette, LA 70501 | 2007-12-05 |
1972605384 | Swla Center for Health Services | Pharmacy | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2006-09-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SWLA CENTER FOR HEALTH SERVICES | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
Street Address |
2000 OPELOUSAS ST |
City | LAKE CHARLES |
State | LA |
Zip Code | 70601-2641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295727550 | John Liebert Colligan | Obstetrics & Gynecology | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2005-08-22 |
1043867708 | Maketia Morrison-williams | Counselor | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2019-08-19 |
1275096323 | Nicole M John | Family Medicine | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2019-04-07 |
1619460870 | Latasha Grice | Counselor | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2018-06-12 |
1346743697 | Swla Center for Health Services | Clinic/Center | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2018-03-13 |
1619405636 | Jessica Maria Wilkins | Dentist | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2017-06-03 |
1164964458 | Barbara Grigsby | Nutritionist | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2016-11-17 |
1831547868 | Shanone Chatman-ashley | Nurse Practitioner | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2016-05-31 |
1649669599 | Joyce J Fontenot | Specialist | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2015-01-15 |
1497157200 | Lisa Breaux | Nurse Practitioner | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2014-09-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
Find all providers in zip 70601 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
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1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
1184239642 | Access Health Louisiana | Clinic/Center | 1400 Huey P Long Ave, Gretna, LA 70053-6436 | 2020-09-11 |
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 |
City | LAKE CHARLES |
Zip Code | 70601 |
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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.