Primary Care Providers For A Healthy Feliciana INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Tickfaw, LA. Organization (NPI-2).
NPI number1104703602
StatusActive
Last updated in NPPESAug 18, 2025
Details
- NPI
- 1104703602
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Care Providers For A Healthy Feliciana INC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2025
- Certification date
- Aug 18, 2025
- Last updated
- Aug 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Midway Elementary (Doing Business As)
Practice location
48405 Highway 51Tickfaw, LA 70466-1915
Phone 225-683-5292 · Fax 225-683-1310
Mailing address
Po Box 395Clinton, LA 70722-0395
Phone 225-683-5292 · Fax 225-683-1310
Authorized official
Christi C Hunt
Ceo
2256835292
Is something wrong?
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