| Family Health Care And Wellness Center | |
|
2511 Highway 190 E Hammond LA 70401-8510 | |
| (985) 543-6800 | |
| (985) 543-6801 |
| Full Name | Family Health Care And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2511 Highway 190 E, Hammond, Louisiana |
| Authorized Official Name and Position | Cherie K Cody (OWNER/NP) |
| Authorized Official Contact | 9855436800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care And Wellness Center 2511 Highway 190 E Hammond LA 70401-8510 Ph: (985) 543-6800 | Family Health Care And Wellness Center 2511 Highway 190 E Hammond LA 70401-8510 Ph: (985) 543-6800 |
| NPI Number | 1407128598 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 03/02/2020 |
| Medicare PECOS PAC ID | 7416195060 |
|---|---|
| Medicare Enrollment ID | O20130521000617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407128598 | NPI | - | NPPES |
| 1456241 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | AP 04596 (Louisiana) | Secondary |
| Provider Name | Cherie Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245251909 PECOS PAC ID: 9436155280 Enrollment ID: I20061018000436 |
| Provider Name | Letarsha R Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205124310 PECOS PAC ID: 4385814862 Enrollment ID: I20110822000099 |
| Provider Name | Sharon H Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154797132 PECOS PAC ID: 6406139765 Enrollment ID: I20170210001293 |
| Provider Name | Daphne J Dureau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871833566 PECOS PAC ID: 8426308255 Enrollment ID: I20180829000829 |
| Provider Name | Lauren Rhodes Carbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104424852 PECOS PAC ID: 4385044577 Enrollment ID: I20210609002054 |
| Provider Name | Carly Haws Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497417299 PECOS PAC ID: 8123417219 Enrollment ID: I20211110003294 |
| Provider Name | Janet E Debarbieris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760116941 PECOS PAC ID: 5496127870 Enrollment ID: I20230213000838 |
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