Iberia Comprehensive Community Health Center, Inc.

NPI #1235634486 in Leesville, Louisiana

Provider Information

NPI Number
1235634486
Entity Type
Organization
Organization Name
Iberia Comprehensive Community Health Center, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 29, 2018
Last Updated
Dec 1, 2021

Practice Location

Address
298 NOLAN TRACE PKWY.
ZIP Code
71446
Phone
(337) 365-4945

Authorized Official

Name
RODERICK CHARLES CAMPBELL
Title
CEO
Phone
(337) 365-4945

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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