MADISON HIGH SBHC NPI 1619098498

NPI Information

NPI: 1619098498
Provider Name: MADISON HIGH SBHC
Classification: Clinic/Center - 261QS1000X
Specialization: Student Health
Entity Type: Organization
Former Legal Business Name: REUBEN MCCALL SCHOOL BASED HEALTH CENTER
Address: 301 S. CHESTNUT
TALLULAH, LA
ZIP 71282
Phone: (318) 574-5371

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NPI Details

MADISON HIGH SBHC is a student health clinic center in Tallulah, LA. MADISON HIGH SBHC NPI is 1619098498. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Reuben Mccall School Based Health Center.

The provider's business location address is:

301 S. CHESTNUT
TALLULAH, LA
ZIP 71282
Phone: (318) 574-5371
Fax: (318) 574-5345

The provider's authorized official is Sylvia Farrish Redd .
The authorized official title is Apnp and has the following contact phone number (318) 574-5371.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.

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
1	261QS1000X	Clinic/Center	Student Health			Yes

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
1	1101486	MEDICAID	LOUISIANA
2	1316288	MEDICAID	LOUISIANA
3	1446343	MEDICAID	LOUISIANA

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: 3/30/2025

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