NPIMap

Organization Active NPI

Swla Center for Health Services

Doing business as SWLA Center for Health Services @ Carencro Middle School

  • Federally Qualified Health Center (FQHC)
  • Carencro, LA
National Provider Identifier
1639807498
Registry record updated Aug 10, 2022
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
Doing business as
SWLA Center for Health Services @ Carencro Middle School
Practice address
4301 N University Ave
Carencro, LA 70520-3905
Phone
(337) 769-9451
NPI assigned
Aug 10, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
William Brent III
Title
Ceo
Phone
(337) 769-9451

Specialties & licenses 1

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

Addresses

Primary practice location

4301 N University Ave
Carencro, LA 70520-3905

Mailing address

2000 Opelousas St
Lake Charles, LA 70601-2641
Phone (337) 769-9451

Other names 1

  • SWLA Center for Health Services @ Carencro Middle School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fontenot-Barnes Mem HLT12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

4301 N University Ave
Carencro, LA 70520
Phone (337) 521-7499

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1639807498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012641",
            "telephone_number": "337-769-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N UNIVERSITY AVE",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203905",
            "telephone_number": "337-769-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWLA CENTER FOR HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "BRENT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-769-9451",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWLA Center for Health Services @ Carencro Middle School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carencro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.