West St. Mary School Based Health Center

LBN: Teche Action Board, Inc.
West St. Mary School Based Health Center is an health care organization with primary practice located at 18331 Highway 182 , Baldwin LA 70514-1449. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Teche Action Board, Inc. can be contacted via phone (337) 924-9418, or through Wiltz, Gary M via phone (337) 828-2550.

Contact Information

Primary practice address
18331 Highway 182 Baldwin LA 70514-1449
Phone: (337) 924-9418
Fax: (337) 924-9165
Website:
Map and Directions
Authorized official contact:
Name: Wiltz, Gary M Doctor of Medicine (MD)
Phone: (337) 828-2550

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Louisiana

Profile Details

NPI number 1902082811
LBN Legal business name Teche Action Board, Inc.
DBA Doing business as West St. Mary School Based Health Center
Authorized official Wiltz, Gary M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 10th, 2008
Last updated Jul 12th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902082811 NPPES
Louisiana MEDICAID 1908347

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