NPIMap

Organization Active NPI

Life Coast Community Health Center Inc

  • Pharmacy
  • Houma, LA
National Provider Identifier
1962288043
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LIFE COAST COMMUNITY HEALTH CENTER INC
Practice address
605 Enterprise Dr Ste D
Houma, LA 70360-5405
Phone
(985) 360-3755
Fax
(985) 879-4580
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Diane Webre
Title
Clinic Manager
Phone
(985) 492-6170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

605 Enterprise Dr Ste D
Houma, LA 70360-5405

Mailing address

1101 Audubon Ave Ste S1
Thibodaux, LA 70301-4957
Phone (985) 492-6170

National Provider Directory

National Provider Directory
Tax ID family
Life Coast Community Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

605 Enterprise Dr
Ste D
Houma, LA 70360
Phone (985) 360-3755

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1962288043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 AUDUBON AVE STE S1",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014957",
            "telephone_number": "985-492-6170",
            "fax_number": "985-492-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 ENTERPRISE DR STE D",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605405",
            "telephone_number": "985-360-3755",
            "fax_number": "985-879-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COAST COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "WEBRE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "985-492-6170"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.