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TECHE ACTION BOARD INC NPI 1174579262


NPI Information

NPI: 1174579262
Provider Name: TECHE ACTION BOARD INC

Doing Business As: TECHE ACTION CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1115 WEBER ST
FRANKLIN, LA
ZIP 70538
Phone: (337) 828-2550
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TECHE ACTION BOARD INC is a federally qualified health center (fqhc) clinic center in Franklin, LA. TECHE ACTION BOARD INC NPI is 1174579262. The provider is registered as an organization entity type.
The provider Is Doing Business As Teche Action Clinic.

The provider's business location address is:

1115 WEBER ST
FRANKLIN, LA
ZIP 70538-124
Phone: (337) 828-2550
Fax: (337) 355-2335

The provider's authorized official is Gary M Wiltz .
The authorized official title is Chief Executive Officer and has the following contact phone number (337) 828-2550.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 7/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)04402470NLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11136174MEDICAIDLOUISIANA
21940925MEDICAIDLOUISIANA
31174579262OTHERLOUISIANANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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