Teche Action Clinic @ Pierre Part

LBN: Teche Action Board Inc
Teche Action Clinic @ Pierre Part is an health care organization with primary practice located at 3528 Highway 70 S , Pierre Part LA 70339-4452. 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 (985) 252-6211, or through Wiltz, Gary M via phone (337) 828-2550.

Contact Information

Primary practice address
3528 Highway 70 S Pierre Part LA 70339-4452
Phone: (985) 252-6211
Fax: (985) 252-0006
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

Profile Details

NPI number 1972746964
LBN Legal business name Teche Action Board Inc
DBA Doing business as Teche Action Clinic @ Pierre Part
Authorized official Wiltz, Gary M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 7th, 2009
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 1972746964 NPPES
Louisiana MEDICAID 1921572
Louisiana Other 5B803

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