| Swla Center For Health Services- Lafayette | |
|
500 Patterson St Lafayette LA 70501-1849 | |
| (337) 769-9451 | |
| (337) 769-9460 |
| Full Name | Swla Center For Health Services- Lafayette |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Patterson St, Lafayette, Louisiana |
| Authorized Official Name and Position | Ashley H Boudreaux (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3377699451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swla Center For Health Services- Lafayette 2000 Opelousas Street Lake Charles LA 70601 Ph: (337) 439-9983 | Swla Center For Health Services- Lafayette 500 Patterson St Lafayette LA 70501-1849 Ph: (337) 769-9451 |
| NPI Number | 1376725952 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 08/26/2021 |
| Medicare PECOS PAC ID | 9133029853 |
|---|---|
| Medicare Enrollment ID | O20080124000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376725952 | NPI | - | NPPES |
| 1359301 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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