| Iberia Comprehensive Community Health Center,inc. | |
|
806 Jefferson Ter New Iberia LA 70562-5727 | |
| (337) 365-4945 | |
| Not Available |
| Full Name | Iberia Comprehensive Community Health Center,inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 806 Jefferson Ter, New Iberia, Louisiana |
| Authorized Official Name and Position | Roderick Campbell (CEO) |
| Authorized Official Contact | 3373654945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iberia Comprehensive Community Health Center,inc. 806 Jefferson Ter New Iberia LA 70562-5727 Ph: (337) 365-4945 | Iberia Comprehensive Community Health Center,inc. 806 Jefferson Ter New Iberia LA 70562-5727 Ph: (337) 365-4945 |
| NPI Number | 1922046549 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 12/01/2021 |
| Medicare PECOS PAC ID | 6204817828 |
|---|---|
| Medicare Enrollment ID | O20050809000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922046549 | NPI | - | NPPES |
| 1940984 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Edmond X Bergeron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235211798 PECOS PAC ID: 8224093000 Enrollment ID: I20041122000003 |
| Provider Name | Justin M Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386637155 PECOS PAC ID: 0446299770 Enrollment ID: I20050427000197 |
| Provider Name | Bryan D Granger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497853782 PECOS PAC ID: 0941243059 Enrollment ID: I20050609000164 |
| Provider Name | Edgardo R. Concepcion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326123415 PECOS PAC ID: 6103876032 Enrollment ID: I20051116000281 |
| Provider Name | Diana Verdeflor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073569638 PECOS PAC ID: 4082628177 Enrollment ID: I20060127000314 |
| Provider Name | Cynthia D Labiche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750323754 PECOS PAC ID: 6103834296 Enrollment ID: I20060331000155 |
| Provider Name | Sherri Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245240506 PECOS PAC ID: 8628170024 Enrollment ID: I20070302000061 |
| Provider Name | Marilyn D Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467446161 PECOS PAC ID: 6002894482 Enrollment ID: I20080627000385 |
| Provider Name | Edison L Ong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598794406 PECOS PAC ID: 1951454255 Enrollment ID: I20090804000656 |
| Provider Name | Erinn W Olivier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023208337 PECOS PAC ID: 3375698269 Enrollment ID: I20090827000868 |
| Provider Name | Robin Mouton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467787804 PECOS PAC ID: 2961542246 Enrollment ID: I20091217000216 |
| Provider Name | Jonathan Seghorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003146101 PECOS PAC ID: 5698801330 Enrollment ID: I20100331001256 |
| Provider Name | Joni G Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477523959 PECOS PAC ID: 2860461357 Enrollment ID: I20100723000759 |
| Provider Name | Kelsey J Webb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407952336 PECOS PAC ID: 4284758020 Enrollment ID: I20100831000105 |
| Provider Name | Keith G Ramsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710928874 PECOS PAC ID: 5991829665 Enrollment ID: I20100901000794 |
| Provider Name | Grace E Dinvaut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194031237 PECOS PAC ID: 2466647557 Enrollment ID: I20101115001085 |
| Provider Name | Carmen S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295041796 PECOS PAC ID: 9931388097 Enrollment ID: I20110121000817 |
| Provider Name | Toye T Gaspard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114194420 PECOS PAC ID: 0244402469 Enrollment ID: I20111012000739 |
| Provider Name | Jason J Valls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245267244 PECOS PAC ID: 3274591458 Enrollment ID: I20120611000662 |
| Provider Name | Katherine Dulay Dela Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366408510 PECOS PAC ID: 5092736348 Enrollment ID: I20121001000361 |
| Provider Name | Mary S Gathe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437594181 PECOS PAC ID: 4385886365 Enrollment ID: I20130805000718 |
| Provider Name | Keisha S Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215284708 PECOS PAC ID: 7618107665 Enrollment ID: I20140313000825 |
| Provider Name | Kimberly C Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568874998 PECOS PAC ID: 4183840275 Enrollment ID: I20140725001341 |
| Provider Name | Sarah Rito |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932441722 PECOS PAC ID: 7618260308 Enrollment ID: I20160718001448 |
| Provider Name | Ryan C Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306367834 PECOS PAC ID: 0244505477 Enrollment ID: I20171013001306 |
| Provider Name | Lois Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992211676 PECOS PAC ID: 2567726631 Enrollment ID: I20180510001468 |
| Provider Name | Dametra Danielle Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013416007 PECOS PAC ID: 5092067876 Enrollment ID: I20181004002821 |
| Provider Name | Ashanti E Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073821567 PECOS PAC ID: 1951694314 Enrollment ID: I20190919002822 |
| Provider Name | Oto-obong Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780230474 PECOS PAC ID: 2365773249 Enrollment ID: I20191007002730 |
| Provider Name | Lakeyn L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467115600 PECOS PAC ID: 1456748565 Enrollment ID: I20220420000082 |
| Provider Name | Elizabeth Viator |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184252736 PECOS PAC ID: 7113371519 Enrollment ID: I20231003001893 |
| Provider Name | Nichole Baucan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093428542 PECOS PAC ID: 8729434774 Enrollment ID: I20231026002383 |
| Provider Name | Erin Stutes Bourque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396408886 PECOS PAC ID: 8628424355 Enrollment ID: I20231031003575 |
Jkl Healthcare Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 N Lewis St, Suite 100, New Iberia, LA 70563 Phone: 337-367-8220 Fax: 337-367-8108 | |
Your Family Care Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Palmland Blvd, New Iberia, LA 70563 Phone: 337-519-4740 | |
Quickmed After Hours Walk In Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 814 Jefferson Ter Ste A, New Iberia, LA 70560 Phone: 337-256-5123 Fax: 337-256-5304 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Iberia St Ste 120, New Iberia, LA 70560 Phone: 337-369-3714 | |
Advanced Medical Services Of Louisiana Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1417 Center St, New Iberia, LA 70560 Phone: 337-519-5323 | |
Fremin Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Center Street, New Iberia, LA 70560 Phone: 337-364-5503 | |
Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2309 East Main Street, Suite 400, New Iberia, LA 70560 Phone: 337-367-0271 Fax: 337-364-6139 |