| Vernon Parish Community Health Center | |
|
298 Nolan Trace Pkwy. Leesville LA 71446 | |
| (337) 365-4945 | |
| Not Available |
| Full Name | Vernon Parish Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 298 Nolan Trace Pkwy., Leesville, Louisiana |
| Authorized Official Name and Position | Roderick Charles 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 |
|---|---|
| Vernon Parish Community Health Center 806 Jefferson Ter New Iberia LA 70560-5727 Ph: (337) 365-4945 | Vernon Parish Community Health Center 298 Nolan Trace Pkwy. Leesville LA 71446 Ph: (337) 365-4945 |
| NPI Number | 1235634486 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 12/01/2021 |
| Medicare PECOS PAC ID | 6204817828 |
|---|---|
| Medicare Enrollment ID | O20181227002284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235634486 | NPI | - | NPPES |
| 00000 | Other | NO NUMBERS RECEIVED YET-NEW APPLICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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