Teche Action Clinic @ Pierre Part | |
3528 Highway 70 S Pierre Part LA 70339-4452 | |
(985) 252-6211 | |
(985) 252-0006 |
Full Name | Teche Action Clinic @ Pierre Part |
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Speciality | Clinic/Center |
Location | 3528 Highway 70 S, Pierre Part, 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 @ Pierre Part 1115 Weber Street Franklin LA 70538-4124 Ph: (337) 828-2550 | Teche Action Clinic @ Pierre Part 3528 Highway 70 S Pierre Part LA 70339-4452 Ph: (985) 252-6211 |
NPI Number | 1972746964 |
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Provider Enumeration Date | 04/07/2009 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 0648163980 |
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Medicare Enrollment ID | O20100127000221 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972746964 | NPI | - | NPPES |
1921572 | Medicaid | LA | |
5B803 | Other | LA | MEDICARE PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Reddy Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3407 Highway 70 S, Pierre Part, LA 70339 Phone: 225-473-3931 Fax: 225-473-3289 | |
Larrison Family Health Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3617 Highway 70 S, Pierre Part, LA 70339 Phone: 985-252-6211 Fax: 985-252-0006 | |
Thibodaux Regional Network Development Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3928 Highway 70 S, Pierre Part, LA 70339 Phone: 985-369-6070 Fax: 985-252-1400 | |
Reddy Family Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3407 Highway 70 S, Pierre Part, LA 70339 Phone: 985-252-1000 Fax: 985-252-1003 |