IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER INC NPI 1316244338

NPI Information

IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Lafayette, LA. IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC NPI is 1316244338. The provider is registered as an organization entity type.
The provider Is Doing Business As Surrey Street Community Health Center.

The provider's business location address is:

1002 12TH ST
LAFAYETTE, LA
ZIP 70501-224
Phone: (375) 340-1073
Fax: (337) 534-0184

The provider's authorized official is Monique Dumond .
The authorized official title is Cfo and has the following contact phone number (337) 365-4945.

The CLIA number assigned to this NPI record is 19D2021003 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/28/2011 and was last updated on 12/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.