Organization · Type 2 NPI

Iberia Comprehensive Community Health Center,inc.

Federally Qualified Health Center (FQHC) · Merryville, LA

NPI number 1891020012 Active

Practice location

567 Walker Street
Merryville, LA 70653

Fax (337) 367-3917

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1891020012
Entity type: Organization (Type 2)
Issued: Oct 6, 2009
Last updated: Dec 1, 2021
Status: Active
Subpart: Yes of Iberia Comprehensive Community Health Center, Inc.

Other names

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Merryville Community Health Center · doing business as

Authorized official

Mrs. Nicole Roberson, MBA
Health Information Manager
(337) 365-4945

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891020012

Iberia Comprehensive Community Health Center,inc.'s National Provider Identifier is 1891020012, issued on Oct 6, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Merryville, LA. The record was last updated on Dec 1, 2021.