Teche Action Board INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Reserve, LA. Organization (NPI-2).
NPI number1386880433
StatusActive
Last updated in NPPESAug 11, 2025
Details
- NPI
- 1386880433
- Entity type
- Organization (NPI-2)
- Legal business name
- Teche Action Board INC
- Organization subpart
- Yes
- Enumeration date
- Dec 19, 2008
- Certification date
- Aug 11, 2025
- Last updated
- Aug 11, 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) | – | LA | Yes |
Other names
- Teche Health @ Reserve (Doing Business As)
Practice location
471 Central AveReserve, LA 70084-5509
Phone 985-479-1315 · Fax 985-479-1328
Mailing address
1115 Weber StreetFranklin, LA 70538-4124
Phone 337-828-2550 · Fax 337-355-2335
Authorized official
Gary M Wiltz
Ceo
3378282550
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