Provider Demographics
NPI:1932139193
Name:IBERIA FAMILY CARE, APMC
Entity Type:Organization
Organization Name:IBERIA FAMILY CARE, APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:HANKENHOF
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:337-256-8012
Mailing Address - Street 1:222 E MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-3878
Mailing Address - Country:US
Mailing Address - Phone:337-256-8012
Mailing Address - Fax:337-256-8037
Practice Address - Street 1:222 E MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-3878
Practice Address - Country:US
Practice Address - Phone:337-256-8012
Practice Address - Fax:337-256-8037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA023102261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA436967201AOtherBLUE CROSS
LALP0130018OtherTRICARE
LA0100812OtherUNITED HEALTHCARE
LA1533441Medicaid
LA1739786OtherFIRST HEALTH
LA5740720OtherAETNA
LA080185002OtherRAILROAD MEDICARE