| Teche Action Clinic @ Reserve | |
|
473 Central Ave Reserve LA 70084-5509 | |
| (985) 479-1315 | |
| (985) 479-1328 |
| Full Name | Teche Action Clinic @ Reserve |
|---|---|
| Speciality | Clinic/Center |
| Location | 473 Central Ave, 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 |
|---|---|
| Teche Action Clinic @ Reserve 1115 Weber Street Franklin LA 70538-4124 Ph: (337) 828-2550 | Teche Action Clinic @ Reserve 473 Central Ave Reserve LA 70084-5509 Ph: (985) 479-1315 |
| NPI Number | 1386880433 |
|---|---|
| Provider Enumeration Date | 12/19/2008 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 0648163980 |
|---|---|
| Medicare Enrollment ID | O20091230000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386880433 | NPI | - | NPPES |
| 1803782 | Medicaid | LA | |
| 5B803 | Other | LA | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Louisiana) | Primary |
Teche Action Clinic @ East St. John High Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Wildcat Dr, Reserve, LA 70084 Phone: 337-828-2550 Fax: 337-355-2335 | |
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 |