| Teche Action Board, Inc. | |
|
2555 La Hwy 18 Edgard LA 70049-2417 | |
| (337) 828-2550 | |
| (337) 355-2335 |
| Full Name | Teche Action Board, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2555 La Hwy 18, Edgard, Louisiana |
| Authorized Official Name and Position | Gary 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 Board, Inc. 1115 Weber St Franklin LA 70538-4124 Ph: (337) 828-2550 | Teche Action Board, Inc. 2555 La Hwy 18 Edgard LA 70049-2417 Ph: (337) 828-2550 |
| NPI Number | 1912354176 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 08/11/2025 |
| Medicare PECOS PAC ID | 0648163980 |
|---|---|
| Medicare Enrollment ID | O20161101000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912354176 | NPI | - | NPPES |
| 2426419 | Medicaid | LA |
| 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: 159 E 3rd St, Edgard, LA 70049 Phone: 985-497-8726 Fax: 985-497-3108 |