NPIMap

Organization Active NPI

Swla Center for Health Services

  • Federally Qualified Health Center (FQHC)
  • Oberlin, LA
National Provider Identifier
1942645007
Registry record updated May 13, 2019
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
112 N. Sixth Street
Oberlin, LA 70655
Phone
(337) 639-2281
Fax
(337) 639-6199
NPI assigned
May 2, 2013
Last updated
May 13, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SWLA CENTER FOR HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2019

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 Primary

Addresses

Primary practice location

112 N. Sixth Street
Oberlin, LA 70655

Mailing address

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

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
O20140521000404 LA Part A Provider - Federally Qualified Health Center (FQHC) 9133029853 Practice locations: Oberlin, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942645007. Details of each certification follow.

Federally qualified health center certification: CCN 191915

Legal name
SWLA CENTER FOR HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 13, 2014
Last certification
May 13, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 25, 1978 in LA
Enrollment address
112 N Sixth St
Oberlin, LA 70655-6109

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
Tax ID family
Fontenot-Barnes Mem HLT12 organizations share this tax ID, including this one
Part of
Fontenot-Barnes Mem HLT

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Mandi D Mitchell Individual Corporate DirectorBoard Vice Chair Jan 28, 2008
Sandra P Semien Individual Corporate DirectorBoard Member Jun 6, 2001
Paulette Lofton Individual Corporate OfficerCoo Apr 29, 2021
Clyde W Mitchell Individual Corporate DirectorBoard Member Jun 6, 2001
Bernita Brown Individual Corporate DirectorBoard Secretary Jan 28, 2008
William Brent Individual W-2 Managing EmployeeCeo Feb 15, 2021
OtherCeo Feb 15, 2021
Barbara Hardy Individual Corporate DirectorBoard Chair Jun 6, 2001
Chee NG Individual OtherCfo Nov 16, 2015

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1942645007",
    "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": "337-439-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N. SIXTH STREET",
            "city": "OBERLIN",
            "state": "LA",
            "postal_code": "70655",
            "telephone_number": "337-639-2281",
            "fax_number": "337-639-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWLA CENTER FOR HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SWLA CENTER FOR HEALTH SERVICES",
        "enumeration_date": "2013-05-02",
        "last_updated": "2019-05-13",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oberlin, LA

Sources for this page

Verify at the official NPI Registry.