Teche Action Clinic @ East St. John High | |
1 Wildcat Dr Reserve LA 70084-5800 | |
(337) 828-2550 | |
(337) 355-2335 |
Full Name | Teche Action Clinic @ East St. John High |
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Speciality | Clinic/Center |
Location | 1 Wildcat Dr, Reserve, Louisiana |
Authorized Official Name and Position | Gary M Wiltz (CEO) |
Authorized Official Contact | 3378282550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Teche Action Clinic @ East St. John High 1115 Weber St Franklin LA 70538-4124 Ph: (337) 828-2550 | Teche Action Clinic @ East St. John High 1 Wildcat Dr Reserve LA 70084-5800 Ph: (337) 828-2550 |
NPI Number | 1255788428 |
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Provider Enumeration Date | 05/18/2016 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 0648163980 |
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Medicare Enrollment ID | O20161111001654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255788428 | NPI | - | NPPES |
2426273 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Teche Action Clinic @ Reserve Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 473 Central Ave, Reserve, LA 70084 Phone: 985-479-1315 Fax: 985-479-1328 | |
Family Medicine Center Of Reserve Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 147 Central Ave, Reserve, LA 70084 Phone: 985-536-2605 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1342 Highway 44, Reserve, LA 70084 Phone: 833-784-2669 Fax: 844-784-2329 | |
Family Medicine Center Of Reserve Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Central Ave, Reserve, LA 70084 Phone: 985-536-2605 Fax: 985-536-8388 |