Iberia Healthcare LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

IBERIA HEALTHCARE LLC

Practice address

115 Hansel St
New Iberia, LA 70560-5039

Phone

(337) 367-7889

Fax

(337) 359-8580

NPI assigned

Feb 1, 2011

Last updated

Feb 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul A Broussard

Title

Owner

Phone

(337) 367-7889

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Lindsay M Nicholson, LCSW

  • Clinical Social Worker
  • New Iberia, LA
  • NPI 1093964991
  NPD (past)
• Michele Renee Vincent, LCSW

  • Mental Health Counselor
  • Broussard, LA
  • NPI 1225251986
  NPD (past)

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1679879134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13904",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705623904",
            "telephone_number": "337-367-7889",
            "fax_number": "337-376-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HANSEL ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605039",
            "telephone_number": "337-367-7889",
            "fax_number": "337-359-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERIA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-367-7889",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iberia General Hospital & Medical Center (Iberia Medical Center Home Health Agency)
• Iberia General Hospital & Medical Center (The Children's Practice)
• Iberia General Hospital & Medical Center (Iberia Medical Center)
• Iberia General Hospital and Medical Center (Endocrinology Associates)
• Iberia General Hospital and Medical Center (Rheumatology Associates)
• Iberia Medical Center Physician Practice Network
• Iberia Orthopedic Group a Professional Corporation (The Iberia Orthopedic Group)
• Iberia Parish School Board
• Iberia Parish School Board
• Iberia Parish School Board

• Rural Health Clinic/Center in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.