| Teche Action Board, Inc. | |
|
22187 Highway 20 Vacherie LA 70090-3621 | |
| (225) 258-4980 | |
| Not Available |
| Full Name | Teche Action Board, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 22187 Highway 20, Vacherie, Louisiana |
| Authorized Official Name and Position | Shannon Verdun (PRIVILEGING & CREDENTIALING MANAGER) |
| Authorized Official Contact | 3378282550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teche Action Board, Inc. 1115 Weber St Franklin LA 70538-4124 Ph: (337) 828-2550 | Teche Action Board, Inc. 22187 Highway 20 Vacherie LA 70090-3621 Ph: (225) 258-4980 |
| NPI Number | 1649914763 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 0648163980 |
|---|---|
| Medicare Enrollment ID | O20220921003974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649914763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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