MADISON HIGH SBHC (NPI# 1619098498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619098498 |
Entity Type | Organization |
Organization Name | MADISON HIGH SBHC |
Other Organization Name | REUBEN MCCALL SCHOOL BASED HEALTH CENTER |
Practice Address |
301 S. Chestnut Tallulah LA 71282 |
Mailing Address |
900 Wyche St Tallulah LA 71282 |
Practice Telephone | 3185745371 |
Practice Fax Number | 3185745345 |
Mailing Telephone | 3185745371 |
Mailing Fax Number | 3185745345 |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. SYLVIA FARRISH REDD (APNP) |
Authorized Official Telephone | 3185745371 |
Authorized Official Credential | FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1101486 | 05 | |
LA | 1316288 | 05 | |
LA | 1446343 | 05 |
Other Name | Type Code |
---|---|
Reuben McCall School Based Health Center | Former Legal Business Name - Organization |
Street Address |
301 S. CHESTNUT |
City | TALLULAH |
State | LA |
Zip Code | 71282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982211140 | Adonis Williams | Counselor | 410 E Askew Street, Tallulah, LA 71282 | 2020-09-30 |
1154957272 | Renewed Path Counseling Services LLC | Community/Behavioral Health | 602 Wood St Suite A, Richmond, LA 71282 | 2020-03-20 |
1639632136 | Ljconsulting & Professional Services, LLC | Counselor | 809 Bailey Rd., Tallulah, LA 71282 | 2019-04-11 |
1982120937 | Chryl Smith Lee | Counselor | 1705 W Feliciana Ave, Talullah, LA 71282 | 2017-08-21 |
1730619347 | Carmen Larae Allen | Counselor | 805 N Beech Street, Tallulah, LA 71282 | 2017-06-15 |
1205365665 | Brittney Vontres Scott | Case Manager/Care Coordinator | 1705 Felicia Avenue, Tallulah, LA 71282 | 2017-06-08 |
1427500123 | Sharon Jackson | Case Manager/Care Coordinator | 1000 S Elm St, Tallulah, LA 71282 | 2016-10-28 |
1982152989 | John Tanner Mcdonald | Pharmacist | 402 East Darrow Street, Tallulah, LA 71282 | 2016-09-19 |
1164874350 | Victor Lewis Jr. | Counselor | 1705 Felicia Drive, Tallulah, LOUISIANA 71282 | 2016-07-12 |
1356797492 | Keisha Prosser | Case Manager/Care Coordinator | 1705 Felicia Aveune, Tallulah, LA 71282 | 2016-05-08 |
Find all providers in zip 71282 |
Taxonomy Code | 261QS1000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Student Health |
Definition to come... |
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1992093132 | Health Care Centers In Schools | Clinic/Center | 10650 Avenue F, Baton Rouge, LA 70807-2501 | 2011-07-20 |
1386961977 | Ehret School Based Health Center | Clinic/Center | 4300 Patriot St, Marrero, LA 70072-4305 | 2010-04-23 |
1043443682 | Bonnabel Sbhc | Clinic/Center | 2801 Bruin Drive, Kenner, LA 70065 | 2009-08-31 |
1437302288 | St Francis Richwood School Based Health Center | Clinic/Center | 5901 Highway 165 Byp, Monroe, LA 71202-7236 | 2008-10-24 |
1164687307 | Christus Health Central Louisiana | Clinic/Center | 132 Cherry St, Provencal, LA 71468 | 2008-07-28 |
1609031962 | Christus Health Central Louisiana | Clinic/Center | 10800 Hwy 120, Marthaville, LA 71450 | 2008-07-25 |
1679758890 | Avoyelles Parish School Board | Clinic/Center | 148 S Fair Street, Marksville, LA 71351 | 2008-01-07 |
Find all providers with the same taxonomy |
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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.