NPIMap

Organization Active NPI

Iberia Comprehensive Community Health Center

  • Clinic Pharmacy
  • Abbeville, LA
National Provider Identifier
1114495355
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER
Practice address
1009 Charity Street
Abbeville, LA 70510-5239
Phone
(337) 893-3443
NPI assigned
Nov 6, 2018
Organization subpart
Yes
Parent organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monique Dumond
Title
Cfo
Phone
(337) 365-4945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

1009 Charity Street
Abbeville, LA 70510-5239

Mailing address

806 Jefferson Ter
New Iberia, LA 70560-5727
Phone (337) 365-4945

Other names 1

  • Abbeville Community Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Iberia Comprehensive Co15 organizations share this tax ID, including this one
Part of
Iberia Comprehensive Co

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJJIBD

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1114495355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 JEFFERSON TER",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605727",
            "telephone_number": "337-365-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 CHARITY STREET",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705105239",
            "telephone_number": "337-893-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC",
        "enumeration_date": "2018-11-06",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "DUMOND",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-365-4945"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbeville Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abbeville Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.