NPIMap

Organization Active NPI

Swla Center for Health Services

  • Federally Qualified Health Center (FQHC)
  • Lafayette, LA
National Provider Identifier
1376725952
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Jamya A Mouton
Title
Credentialing Specialist
Phone
(337) 769-9451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 names 1

  • SWLA Center for Health Services- Lafayette Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376725952. Details of each certification follow.

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
CorporationNon-profit
Incorporated
May 1, 1978 in LA
Enrollment address
500 Patterson Street
Lafayette, LA 70501-3468

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Catherine J Ledyard Individual Corporate DirectorBoard Member Jan 31, 2008
Mark Lewis Individual Corporate DirectorBoard Treasurer Jan 31, 2008
Adam Morrison Individual Corporate DirectorBoard Member Jan 1, 2021
Mandi D Mitchell Individual Corporate DirectorVice Chair Jan 31, 2008
Tonya Ryder Individual Corporate DirectorBoard Member Jan 1, 2021
Sandra P Semien Individual Corporate DirectorBoard Member Jan 31, 2008
Paulette Lofton Individual Corporate OfficerCoo Apr 29, 2021
W-2 Managing EmployeeCoo Apr 29, 2021
Clyde W Mitchell Individual Corporate DirectorBoard Member Jan 31, 2008
Bernita Brown Individual Corporate DirectorBoard Secretary Jan 31, 2008
Hilda Wiltz Individual Corporate DirectorBoard Member Jan 1, 2011
William Brent Individual Corporate OfficerCeo Feb 15, 2021
W-2 Managing EmployeeCeo Feb 15, 2021
Barbara Hardy Individual Corporate DirectorBoard Chair Jan 31, 2008
Chee NG Individual Corporate OfficerCfo Nov 16, 2015
W-2 Managing EmployeeCfo Nov 16, 2015

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1376725952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS STREET",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-439-9983",
            "fax_number": "337-497-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PATTERSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011849",
            "telephone_number": "337-769-9451",
            "fax_number": "337-769-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWLA CENTER FOR HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "MOUTON",
        "authorized_official_first_name": "JAMYA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "337-769-9451"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWLA Center for Health Services- Lafayette",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.