IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER INC NPI 1568731602

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 1568731602. The provider is registered as an organization entity type.
The provider Other Name Is Surrey Street Community Health Center #1.

The provider's business location address is:

1004 SURREY ST
LAFAYETTE, LA
ZIP 70501-143
Phone: (337) 456-6768
Fax: (337) 456-8690

The provider's authorized official is Roderick Campbell .
The authorized official title is Ceo and has the following contact phone number (337) 365-4945.

The CLIA number assigned to this NPI record is 19D2035110 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/19/2011 and was last updated on 1/31/2024.

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:

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