| Teche Action Board, Inc. | |
|
159 E 3rd St Edgard LA 70049-2450 | |
| (985) 497-8726 | |
| (985) 497-3108 |
| Full Name | Teche Action Board, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 159 E 3rd St, Edgard, Louisiana |
| Authorized Official Name and Position | Gary M Wiltz (CHIEF EXECUTIVE OFFICER) |
| 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 Board, Inc. 1115 Weber Street Franklin LA 70538-4124 Ph: (337) 828-2550 | Teche Action Board, Inc. 159 E 3rd St Edgard LA 70049-2450 Ph: (985) 497-8726 |
| NPI Number | 1154368553 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 08/11/2025 |
| Medicare PECOS PAC ID | 0648163980 |
|---|---|
| Medicare Enrollment ID | O20101122000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154368553 | NPI | - | NPPES |
| 2134434 | Medicaid | LA | |
| 5B803 | Other | LA | PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Teche Action Board, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2555 La Hwy 18, Edgard, LA 70049 Phone: 337-828-2550 Fax: 337-355-2335 |