Teche Action Board, Inc. in Edgard - Federally Qualified Health Center (fqhc)
Teche Action Board, Inc. - NPI 1154368553
Teche Action Board, Inc. is a Federally Qualified Health Center (fqhc) in Edgard, Louisiana. Teche Action Board, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Teche Action Board, Inc. is 1154368553. The last update date is 2023-07-12.
Teche Action Board, Inc.'s current location address is 159 E 3rd St, Edgard, Louisiana. You can contact this provider via phone number 9854978726 and fax number 9854973108. The mailing address for Teche Action Board, Inc. is 159 E 3rd St, Edgard, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Teche Action Board, Inc. |
|---|---|
| Address | 159 E 3rd St, Edgard, Louisiana |
| Phone Number | 9854978726 |
| Fax Number | 9854973108 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Wiltz M Gary |
| Credentials | M.D. |
| Telephone Number | 3378282550 |
NPI Number Detail
| NPI Number | 1154368553 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2023-07-12 |
Provider Mailing Address Detail
| Address | 159 E 3rd St |
|---|---|
| City | Edgard |
| State | Louisiana (LA) |
| Post Code | 700492450 |
| Phone Number | 9854978726 |
| Fax Number | 9854973108 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5B803 | LA | PART B | |
| 2134434 | LA | -- |
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What is the unique 10-digit identifier code issued to Teche Action Board, Inc. by the Centers for Medicare & Medicaid Services?
The Teche Action Board, Inc. has been assigned the NPI (National Provider Identifier) 1154368553 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Teche Action Board, Inc. located?
The Teche Action Board, Inc. is located at 159 E 3Rd St, Edgard, LA 700492450.
What is the Teche Action Board, Inc.'s specialty and taxonomy code?
The Teche Action Board, Inc.'s specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
When did the Teche Action Board, Inc. receive its 1154368553?
The Teche Action Board, Inc. was issued its 1154368553 on 2006-06-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Teche Action Board, Inc. last refreshed?
The information related to the Teche Action Board, Inc., including its address, specialty, and other relevant details, was last updated on 2023-07-12.
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