TECHE ACTION BOARD INC (NPI# 1972746964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972746964 |
| Entity Type | Organization |
| Organization Name | TECHE ACTION BOARD INC |
| Other Organization Name | TECHE ACTION CLINIC @ PIERRE PART |
| Practice Address |
3528 Highway 70 S Pierre Part LA 70339-4452 |
| Mailing Address |
1115 Weber Street Franklin LA 70538-4124 |
| Practice Telephone | 9852526211 |
| Practice Fax Number | 9852520006 |
| Mailing Telephone | 3378282550 |
| Mailing Fax Number | 3373552335 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | DR. GARY M WILTZ (CEO) |
| Authorized Official Telephone | 3378282550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | TECHE ACTION BOARD, INC. |
| 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 | MEDICARE PART B | 5B803 | 01 |
| LA | 1921572 | 05 |
| Other Name | Type Code |
|---|---|
| Teche Action Clinic @ Pierre Part | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1174579262 | Teche Action Board Inc | Clinic/Center | 1115 Weber St, Franklin, LA 70538-4124 | 2006-05-26 |
| Street Address |
3528 HIGHWAY 70 S |
| City | PIERRE PART |
| State | LA |
| Zip Code | 70339-4452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285845925 | Jeanenne C Brignac | Family Medicine | 3617 Hwy 70 South, Pierre Part, LA 70339 | 2007-05-24 |
| 1619052032 | Jennifer F Paine | Physical Therapist | 2729 Lee Dr, Pierre Part, LA 70339 | 2006-10-25 |
| 1346343266 | Richard's Pharmacy | Pharmacist | 3610 Highway 70, Pierre Part, LA 70339 | 2006-09-06 |
| 1528031028 | James C Larrison | Family Medicine | 3617 Highway 70 S, Pierre Part, LA 70339-4455 | 2006-02-07 |
| 1104126846 | Elizabeth C. Eure | Nurse Practitioner | 3617 Highway 70 S, Pierre Part, LA 70339-4455 | 2010-10-28 |
| 1861728503 | Jason M. Scioneaux | Nurse Practitioner | 3617 Highway 70 S, Pierre Part, LA 70339-4455 | 2009-11-01 |
| 1740330976 | Larrison Family Health Center, LLC | Clinic/Center | 3617 Highway 70 S, Pierre Part, LA 70339-4455 | 2007-01-11 |
| 1154394658 | Sherlyn B Larrison | Family Medicine | 3617 Highway 70 S, Pierre Part, LA 70339-4455 | 2006-02-07 |
| 1467746628 | Eric John Gravois | Family Medicine | 3928 Highway 70 S, Pierre Part, LA 70339-4460 | 2011-06-06 |
| 1316063209 | Nagaratna Reddy M.d | Internal Medicine | 3407 Highway 70 S, Pierre Part, LA 70339-4524 | 2007-03-22 |
| Find all providers in zip 70339 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120614 | Marillac Community Health Centers | Clinic/Center | 721 Saint Philip St, New Orleans, LA 70116-2713 | 2020-09-28 |
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
| 1184239642 | Access Health Louisiana | Clinic/Center | 1400 Huey P Long Ave, Gretna, LA 70053-6436 | 2020-09-11 |
| 1770198681 | Marillac Community Health Centers | Clinic/Center | 4000 Cadillac St, New Orleans, LA 70122-1117 | 2020-09-09 |
| 1528673308 | Marillac Community Health Centers | Clinic/Center | 5800 Saint Roch Ave, New Orleans, LA 70122-5336 | 2020-09-09 |
| 1013522879 | Marillac Community Health Centers | Clinic/Center | 1423 Saint Philip St, New Orleans, LA 70116-2933 | 2020-09-09 |
| 1669086690 | Marillac Community Health Centers | Clinic/Center | 1908 Short St, Kenner, LA 70062-7550 | 2020-09-08 |
| 1023629425 | Winn Community Health Center, Inc. | Clinic/Center | 2200 N Bolton Ave, Alexandria, LA 71303-4407 | 2020-08-11 |
| 1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | PIERRE PART |
| Zip Code | 70339 |
Please comment or provide details below to improve the information on TECHE ACTION BOARD INC.
| 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.