TECHE ACTION BOARD INC (NPI# 1174579262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174579262 |
| Entity Type | Organization |
| Organization Name | TECHE ACTION BOARD INC |
| Other Organization Name | TECHE ACTION CLINIC |
| Practice Address |
1115 Weber St Franklin LA 70538-4124 |
| Practice Telephone | 3378282550 |
| Practice Fax Number | 3373552335 |
| Mailing Telephone | 3378282550 |
| Mailing Fax Number | 3373552335 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2016-07-20 |
| Authorized Official Name | GARY M WILTZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3378282550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
04402470N | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | NPI | 1174579262 | 01 |
| LA | 1136174 | 05 | |
| LA | 1940925 | 05 |
| Other Name | Type Code |
|---|---|
| TECHE ACTION CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972746964 | Teche Action Board Inc | Clinic/Center | 3528 Highway 70 S, Pierre Part, LA 70339-4452 | 2009-04-07 |
| 1124307566 | Teche Action Board Inc | Clinic/Center | 1124 7th St, Morgan City, LA 70380-1951 | 2011-08-16 |
| 1386880433 | Teche Action Board Inc | Clinic/Center | 473 Central Ave, Reserve, LA 70084-5509 | 2008-12-19 |
| 1679726459 | Teche Action Board Inc | Pharmacy | 1014 W Tunnel Blvd, Houma, LA 70360-4050 | 2008-10-24 |
| Street Address |
1115 WEBER ST |
| City | FRANKLIN |
| State | LA |
| Zip Code | 70538-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303240 | Chakshu Gautam | Family Medicine | 1115 Weber St, Teche Action Clinic, Franklin, LA 70538-4124 | 2005-06-01 |
| 1326655952 | Brian Gregory Serio | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2020-09-28 |
| 1346873403 | Alexis Bourgeois | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2020-02-18 |
| 1396226767 | Carolyn Higdon | Counselor | 1115 Weber St, Franklin, LA 70538-4124 | 2018-08-23 |
| 1033627906 | Emily Geesling Bergeron | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538 | 2018-01-13 |
| 1801314315 | Eden Desiree Etcheverria | Physician Assistant | 1115 Weber St, Franklin, LA 70538-4124 | 2017-09-05 |
| 1245760800 | Shayla Lux Autrey | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2017-06-15 |
| 1003354929 | Jamila Mckinnis Riley | Dentist | 1115 Weber St, Franklin, LA 70538 | 2017-02-11 |
| 1790140549 | Crystal Hill | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2015-12-21 |
| 1942608997 | Tangela Denise Robertson | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2014-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154790327 | Bogalusa Rehabilitation Hospital LLC | Rehabilitation Hospital | 604 Palfrey Street, Franklin, LA 70538 | 2015-09-17 |
| 1720325855 | Thomas Frere Kramer | Obstetrics & Gynecology | 4484 Irish Bend Rd., Franklin, LA 70538 | 2013-01-09 |
| 1073797098 | Jaba Enterprises Inc | Home Health | 1101 Northwest Blvd, Franklin, LA 70538 | 2007-12-27 |
| 1578784195 | Jeffrey Neil Jordan | Clinic/Center | 1600 Hospital Avenue, Franklin, LA 70538 | 2007-05-01 |
| 1508948852 | Kira P Ridgley | Physician Assistant | 1105 Northwest Blvd., Franklin, LA 70538 | 2006-10-19 |
| 1871602581 | John Neal Boudreaux | Dentist | 600 Haifleigh St, Franklin, LA 70538 | 2006-08-29 |
| 1891273850 | Demetra Smith | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-08-01 |
| 1497244891 | Ashley Burkhart | Counselor | 75 Main St, Franklin, LA 70538 | 2018-05-02 |
| 1710474036 | Fallon Hoskins-august | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-04-23 |
| 1275035032 | Earolyn Ann Choate | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-03-07 |
| Find all providers in zip 70538 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1417936535 | Pendleton Community Care Inc | Clinic/Center | 82 Pine St, Franklin, WV 26807-0100 | 2006-01-17 |
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| Find all providers in FRANKLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.