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General NPI Number Information
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NPI Number | 1356287270
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Entity Type | Organization
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Legal Business Name | IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 5605 AMBASSADOR CAFFERY PKWY
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-5180
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Country | US
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Telephone | 337-365-4945
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Fax |
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Provider Business Mailing Address
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Address Line | 806 JEFFERSON TER
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City | NEW IBERIA
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State | LA
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Zip | 70560-5727
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Country | US
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Telephone | 337-365-4945
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MEGAN REED
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Credential |
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Telephone | 337-365-4945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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