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NPI Code Detail

MEDICARE: SWLA CENTER FOR HEALTH SERVICES

MEDICARE: SWLA CENTER FOR HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)EI1843LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720014186
Entity Type Code : Organization
Provider Name (Legal Business Name) : SWLA CENTER FOR HEALTH SERVICES
Provider Business Mailing Address
First Line : 2000 OPELOUSAS ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-2641
Country : US
Telephone Number : 337-439-9983
Fax Number : 337-497-2556
Provider Business Practice Location Address
First Line : 2000 OPELOUSAS ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-2641
Country : US
Telephone Number : 337-439-9983
Fax Number : 337-439-3224
Authorized Official
Title or Position : REVENUE CYCLE MANAGER
Name : KOBRINA PRICE
Credential :
Telephone Number : 337-493-5112
Provider Enumeration Date : 06/25/2006
Last Update Date : 03/27/2025

Similar Medicare Providers

1194838078 — DR. TAMMY MITCHELL M.D.
Practice Location Address:
2000 OPELOUSAS ST
LAKE CHARLES, LA
70601-2641
Practice Phone: 337-439-9983
Practice Fax: 337-439-8898
1295727550 — DR. JOHN LIEBERT COLLIGAN M.D.
Practice Location Address:
2000 OPELOUSAS ST
LAKE CHARLES, LA
70601-2641
Practice Phone: 337-439-9983
Practice Fax: 337-437-9460
1528040938 — DR. MICHAEL JAMES OLER MD
Practice Location Address:
2000 OPELOUSAS ST
LAKE CHARLES, LA
70601-2641
Practice Phone: 337-439-9983
Practice Fax: 337-439-3224
1881668390 — DR. DENNIS FLETCHER M.D.
Practice Location Address:
2000 OPELOUSAS ST
LAKE CHARLES, LA
70601-2641
Practice Phone: 337-439-9983
Practice Fax: 337-310-1161
1992743892 — STACEY B MOLINERE F.N.P.
Practice Location Address:
2000 OPELOUSAS ST
LAKE CHARLES, LA
70601-2641
Practice Phone: 337-439-9983
Practice Fax: 337-497-2556
1972605384 — SWLA CENTER FOR HEALTH SERVICES
Practice Location Address:
2000 OPELOUSAS ST
LAKE CHARLES, LA
70601-2641
Practice Phone: 337-493-5144
Practice Fax: 337-944-9020

Directions to “SWLA CENTER FOR HEALTH SERVICES ” Practice Location

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