Life Coast Community Health Center Inc

A Medicare group practice based in Houma, LA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3870929193), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3870929193The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
LA
Enrollments
3
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20200205001617 LA Part B Supplier - Clinic/Group Practice 1073157970
O20221219002002 LA Part A Provider - Federally Qualified Health Center (FQHC) 1962113084
O20220926002348 LA Part A Provider - Federally Qualified Health Center (FQHC) 1053021667

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (7).

Sources for this page