TECHE ACTION BOARD, INC. (NPI# 1477900637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477900637 |
| Entity Type | Organization |
| Organization Name | TECHE ACTION BOARD, INC. |
| Other Organization Name | TECHE ACTION CLINIC @ LAPLACE ELEMENTARY SCHOOL |
| Practice Address |
393 Greenwood Dr La Place LA 70068-2535 |
| Mailing Address |
1115 Weber St Franklin LA 70538-4124 |
| Practice Telephone | 3378282550 |
| Practice Fax Number | 3373552335 |
| Mailing Telephone | 3378282550 |
| Mailing Fax Number | 3373552335 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | DR. GARY WILTZ (CEO) |
| 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2426427 | 05 |
| Other Name | Type Code |
|---|---|
| Teche Action Clinic @ LaPlace Elementary School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912354176 | Teche Action Board, Inc. | Clinic/Center | 2555 La Hwy 18, Edgard, LA 70049-2417 | 2016-05-18 |
| 1215354014 | Teche Action Board, Inc. | Clinic/Center | 121 West 134th Place, Galliano, LA 70354 | 2014-03-19 |
| 1902082811 | Teche Action Board, Inc. | Clinic/Center | 18331 Highway 182, Baldwin, LA 70514-1449 | 2008-01-10 |
| 1154368553 | Teche Action Board, Inc. | Clinic/Center | 159 E 3rd St, Edgard, LA 70049-2450 | 2006-06-02 |
| 1215974019 | Teche Action Board, Inc. | Clinic/Center | 1014 West Tunnel Blvd, Houma, LA 70360-5555 | 2006-06-01 |
| 1760016562 | Teche Action Board, Inc. | Pharmacist | 1124 7th St, Morgan City, LA 70380 | 2020-03-02 |
| 1639702087 | Teche Action Board, Inc. | Pharmacy | 1124 7th St, Morgan City, LA 70380-1951 | 2020-02-13 |
| 1801433883 | Teche Action Board, Inc. | Clinic/Center | 827 N Pine St, Gramercy, LA 70052-3602 | 2019-12-09 |
| 1255788428 | Teche Action Board, Inc. | Clinic/Center | 1 Wildcat Dr, Reserve, LA 70084-5800 | 2016-05-18 |
| 1396121117 | Teche Action Board, Inc. | Clinic/Center | 1124 7th St, Morgan City, LA 70380-1951 | 2015-08-04 |
| Street Address |
393 GREENWOOD DR |
| City | LA PLACE |
| State | LA |
| Zip Code | 70068-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669749164 | Letitia Sharp Dumas | Nurse Practitioner | 393 Greenwood Dr, La Place, LA 70068-2535 | 2011-11-28 |
| 1023587433 | Tamira Leblanc | Registered Nurse | 393 Greenwood Dr, La Place, LA 70068-2535 | 2018-11-14 |
| 1730512096 | Rosalind Renee Mobley | Nurse Practitioner | 393 Greenwood Dr, La Place, LA 70068-2535 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831743962 | Herzel Enterprises, LLC | Speech-Language Pathologist | 2136 Colonial Dr., Laplace, LA 70068 | 2019-07-26 |
| 1225695752 | Roger Guerin | Nurse Practitioner | River Place Behavioral Hospital, 500 Rue De Sante Rd., Laplace, LA 70068 | 2019-05-21 |
| 1578079661 | William Paul Gomla | Pharmacist | 932 Carrollwood Ave., Laplace, LA 70068 | 2017-12-27 |
| 1770001497 | Danesha Anthony | Case Manager/Care Coordinator | 1820 English Colony Dr, La Place, LA 70068 | 2017-09-01 |
| 1679091649 | Shade Shamarion Collins | Counselor | 51 Country Club Drove, Laplace, LA 70068 | 2017-08-30 |
| 1306375746 | Aniya Kesean Burl | Counselor | 2425 Williamsburg Dr, Laplace, LA 70068 | 2017-06-08 |
| 1073042412 | Dominique L Mcgehee | Counselor | 2168 Carmel Valley Drive, Laplace, LA 70068 | 2017-06-08 |
| 1700310901 | Malchiel Smith | Social Worker | 3205 Us-51, Laplace, LA 70068 | 2017-04-13 |
| 1265965966 | Shitara Sanders | Counselor | 3205 Highway 51, Suite C, Laplace, LA 70068 | 2017-04-10 |
| 1841730181 | Southern Care Connection, LLC | Home Health | 1101 W Airline Hwy, Suite J, Laplace, LA 70068 | 2017-03-06 |
| Find all providers in zip 70068 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.