Swla Center for Health Services
Organization Active NPI Federally Qualified Health Center (FQHC) · Lafayette, LA
NPI 1376725952 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1376725952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- SWLA CENTER FOR HEALTH SERVICES
- Practice address
- 500 Patterson St
Lafayette, LA 70501-1849 - Phone
- (337) 769-9451
- Fax
- (337) 769-9460
- NPI assigned
- Dec 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Jamya A Mouton
- Title
- Credentialing Specialist
- Phone
- (337) 769-9451
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 3
Member of 1
Practitioners 38
-
Bradley Michael Blappert, M.D.
-
Danette Marie Duval, APRN-BC
-
Jennifer Russo, PMHNP
-
Joi Rinae Thomas, FNP-C
-
Ronnell Jones, NP
-
Natalie Culpepper, APRN
-
Angie Ewalt Dukes, FNP-C
-
James Phillip Gaharan, M.D.
-
Candace Douglas Gilmore, M.D.
-
Todd M Leleux, M.D.
-
Gilbert Anson Lyon III, LCSW
-
Tammy Mitchell, M.D.
-
Stacey B Molinere, F.N.P.
-
Phoenicia Neveu, NP-C
-
Anthony Perry, DPM
-
Melissa Purvis, FNP-C
-
Lindsey A Rhodes, PA-C
-
Ghyass Rizk, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA
Federally qualified health center certification: CCN 191862
- Legal name
- SWLA CENTER FOR HEALTH SERVICES
- Doing business as
- SWLA CENTER FOR HS - LAFAYETTE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 31, 2008
- Last certification
- Oct 31, 2008
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 1, 1978 in LA
- Enrollment address
- 500 Patterson Street
Lafayette, LA 70501-3468
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Catherine J Ledyard |
Corporate Director |
Jan 31, 2008 | |
| Mark Lewis |
Corporate Director |
Jan 31, 2008 | |
| Adam Morrison |
Corporate Director |
Jan 1, 2021 | |
| Mandi D Mitchell |
Corporate Director |
Jan 31, 2008 | |
| Tonya Ryder |
Corporate Director |
Jan 1, 2021 | |
| Sandra P Semien |
Corporate Director |
Jan 31, 2008 | |
| Paulette Lofton |
Corporate Officer |
Apr 29, 2021 | |
| W-2 Managing Employee |
Apr 29, 2021 | ||
| Clyde W Mitchell |
Corporate Director |
Jan 31, 2008 | |
| Bernita Brown |
Corporate Director |
Jan 31, 2008 | |
| Hilda Wiltz |
Corporate Director |
Jan 1, 2011 | |
| William Brent |
Corporate Officer |
Feb 15, 2021 | |
| W-2 Managing Employee |
Feb 15, 2021 | ||
| Barbara Hardy |
Corporate Director |
Jan 31, 2008 | |
| Chee NG |
Corporate Officer |
Nov 16, 2015 | |
| W-2 Managing Employee |
Nov 16, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040109000902 | LA | Part B Supplier - Clinic/Group Practice | 9133029853 |
Receives reassigned benefits from 36 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crowley, LA; Lafayette, LA; Lake Charles, LA; Oberlin, LA |
| O20080124000509 | LA | Part a Provider - Federally Qualified Health Center (FQHC) | 9133029853 | Practice locations: Lafayette, LA |
National Provider Directory
Locations
4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
500 Patterson St
Lafayette, LA 70501-1849
Mailing address
2000 Opelousas Street
Lake Charles, LA 70601
Phone (337) 439-9983
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1359301 | Medicaid | LA |
Other names
- SWLA Center for Health Services- Lafayette
Other providers in Lafayette, LA
- Swift Care Transport LLC
- Michelle E Swift
- Christina L. Swilley
- Loren Swilley
- Swla Center for Health Services
- Swla Center for Health Services
- Swla Center for Health Services
- Swla Center for Health Services
- Swla Center for Health Services
- Swyft Lyft
All providers in Lafayette, LA · Federally Qualified Health Center (FQHC) in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.