NPIMap

Organization Active NPI

Swla Center for Health Services

  • Federally Qualified Health Center (FQHC)
  • Lake Charles, LA
National Provider Identifier
1720014186
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
EI1843 Issued in LA
Legal business name
SWLA CENTER FOR HEALTH SERVICES
Practice address
2000 Opelousas St
Lake Charles, LA 70601-2641
Phone
(337) 439-9983
Fax
(337) 439-3224
NPI assigned
Jun 25, 2006
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
Kobrina Price
Title
Revenue Cycle Manager
Phone
(337) 493-5112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X EI1843 LA Primary

Addresses

Primary practice location

2000 Opelousas St
Lake Charles, LA 70601-2641

Mailing address

2000 Opelousas St
Lake Charles, LA 70601-2641
Phone (337) 439-9983

Other identifiers 1

IdentifierTypeStateIssuer
1940828MedicaidLA

Other names 1

  • SWLA Center for Health Services 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
Practice locations: Crowley, LA; Lafayette, LA; Lake Charles, LA; Oberlin, LA
O20050222000476 LA Part A Provider - Federally Qualified Health Center (FQHC) 9133029853 Practice locations: Lake Charles, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720014186. Details of each certification follow.

Federally qualified health center certification: CCN 191808

Legal name
SWLA CENTER FOR HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 25, 1978 in LA
Enrollment address
2000 Opelousas St
Lake Charles, LA 70601-2641

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

Ownership & related parties

All disclosed owners & managing parties 10

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 OfficerBoard Member Jun 6, 2001
Mark Lewis Individual Corporate OfficerBoard Treasurer Jan 1, 2025
Mandi D Mitchell Individual Corporate OfficerBoard Member Jan 28, 2008
Paulette Lofton Individual Corporate OfficerCoo Apr 29, 2021
Clyde W Mitchell Individual Corporate OfficerBoard Member Jun 6, 2001
Bernita Brown Individual Corporate OfficerBoard Member Jan 28, 2008 20%
Hilda Wiltz Individual Corporate OfficerBoard Member Jan 1, 2025
William Brent Individual Corporate DirectorCeo Jan 1, 2026
W-2 Managing EmployeeAd; Jan 28, 2026 80%
Barbara Hardy Individual Corporate OfficerBoard Member - Chairperson Jun 6, 2001
Chee NG Individual Corporate OfficerCfo Jan 1, 2025
W-2 Managing Employee Jan 28, 2026

Practitioners & affiliated clinicians

Practitioners 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1720014186",
    "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": "337-439-9983",
            "fax_number": "337-497-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012641",
            "telephone_number": "337-439-9983",
            "fax_number": "337-439-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWLA CENTER FOR HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "KOBRINA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "337-493-5112"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "LA",
            "license": "EI1843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1940828",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWLA Center for Health Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SWLA Center for Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.