SWLA CENTER FOR HEALTH SERVICES NPI 1568001014

NPI Information

NPI: 1568001014
Provider Name: SWLA CENTER FOR HEALTH SERVICES

Other Name: SWLACENTER FOR HEALTH SERVICES- SOWELA

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3820 SENATOR J. BENNETT JOHNSTON AVE
CHARLESTON BLDG 8
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 439-9983
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SWLA CENTER FOR HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Lake Charles, LA. SWLA CENTER FOR HEALTH SERVICES NPI is 1568001014. The provider is registered as an organization entity type.
The provider Other Name Is Swlacenter For Health Services- Sowela.

The provider's business location address is:

3820 SENATOR J. BENNETT JOHNSTON AVE
CHARLESTON BLDG 8
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 439-9983
Fax: (337) 439-8898

The provider's authorized official is Ashley H Boudreaux .
The authorized official title is Credentialing and has the following contact phone number (337) 769-9451.

The enumeration date for this NPI number is 1/2/2020 and was last updated on 8/26/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2531581	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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