TECHE ACTION BOARD, INC.


Address: 1709 Ridgefield Rd, Thibodaux, LA 70301-4333
Phone: 3378282550

TECHE ACTION BOARD, INC. (NPI# 1356767420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356767420
Entity Type Organization
Organization Name TECHE ACTION BOARD, INC.
Other Organization Name TECHE ACTION CLINIC @ THIBODAUX
Practice Address 1709 Ridgefield Rd
Thibodaux
LA 70301-4333
Mailing Address 1115 Weber St
Franklin
LA 70538-4124
Practice Telephone 3378282550
Practice Fax Number 3373552335
Mailing Telephone 3378282550
Mailing Fax Number 3373552335
Enumeration Date 2014-03-12
Last Update Date 2016-07-20
Authorized Official Name DR. GARY M WILTZ (CEO)
Authorized Official Telephone 3378282550
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA MEDICARE PART B 5B803 01
LA 2381954 05

Other Provider/Organization Names

Other Name Type Code
Teche Action Clinic @ Thibodaux Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912354176 Teche Action Board, Inc. Clinic/Center 2555 La Hwy 18, Edgard, LA 70049-2417 2016-05-18
1215354014 Teche Action Board, Inc. Clinic/Center 121 West 134th Place, Galliano, LA 70354 2014-03-19
1902082811 Teche Action Board, Inc. Clinic/Center 18331 Highway 182, Baldwin, LA 70514-1449 2008-01-10
1154368553 Teche Action Board, Inc. Clinic/Center 159 E 3rd St, Edgard, LA 70049-2450 2006-06-02
1215974019 Teche Action Board, Inc. Clinic/Center 1014 West Tunnel Blvd, Houma, LA 70360-5555 2006-06-01
1760016562 Teche Action Board, Inc. Pharmacist 1124 7th St, Morgan City, LA 70380 2020-03-02
1639702087 Teche Action Board, Inc. Pharmacy 1124 7th St, Morgan City, LA 70380-1951 2020-02-13
1801433883 Teche Action Board, Inc. Clinic/Center 827 N Pine St, Gramercy, LA 70052-3602 2019-12-09
1255788428 Teche Action Board, Inc. Clinic/Center 1 Wildcat Dr, Reserve, LA 70084-5800 2016-05-18
1477900637 Teche Action Board, Inc. Clinic/Center 393 Greenwood Dr, La Place, LA 70068-2535 2016-05-18

Office Location

Street Address 1709 RIDGEFIELD RD
City THIBODAUX
State LA
Zip Code 70301-4333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184904773 Rhonda Lombas Nurse Practitioner 1709 Ridgefield Rd, Thibodaux, LA 70301-4333 2011-08-26
1588278246 Caroline Elizabeth Ayers Physician Assistant 1709 Ridgefield Rd, Thibodaux, LA 70301-4333 2020-09-01
1538596739 Rebecca M Breaux Nurse Practitioner 1709 Ridgefield Rd, Thibodaux, LA 70301-4333 2013-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225539620 Micah Aaron Callais Nurse Practitioner 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 2018-02-22
1982112348 Katie Leblanc Massage Therapist 1115 St. Mary Street, Thibodaux, LA 70301 2018-01-18
1154837391 Texas Digestive Disease Consultants, Pllc Internal Medicine 764 North Acadia Road, Suite A, Thibodaux, LA 70301 2017-12-26
1235648239 Speech and Feeding Therapy, LLC Speech-Language Pathologist 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 2017-09-22
1285150466 Tara Payne Counselor 303 Hickory Street, Thibodaux, LA 70301 2017-08-18
1427583475 Tyler Pettigrew Counselor 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 2017-04-27
1750825758 Jessica Barquet Counselor 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 2016-12-09
1013468230 Shenee Haas Gros Counselor 504 Cherry St., Thibodaux, LA 70301 2016-10-24
1982155388 Southern Ent Associates Inc Audiologist 604 North Acadia Road Suite 101, Thibodaux, LA 70301 2016-10-20
1215483888 Lesheeca Norman, Lpc Counselor 306 Victoria Court, Thibodaux, LA 70301 2016-09-01
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285114223 Access Health Louisiana Clinic/Center 802 E 7th St, Thibodaux, LA 70301-3607 2018-08-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073120614 Marillac Community Health Centers Clinic/Center 721 Saint Philip St, New Orleans, LA 70116-2713 2020-09-28
1699382697 Start Corporation Clinic/Center 106 School Street, Houma, LA 70360 2020-09-24
1801402433 Hiv/aids Alliance for Region Two, Inc. Clinic/Center 30789 N Range Avenue, Denham Springs, LA 70726 2020-09-18
1184239642 Access Health Louisiana Clinic/Center 1400 Huey P Long Ave, Gretna, LA 70053-6436 2020-09-11
1770198681 Marillac Community Health Centers Clinic/Center 4000 Cadillac St, New Orleans, LA 70122-1117 2020-09-09
1528673308 Marillac Community Health Centers Clinic/Center 5800 Saint Roch Ave, New Orleans, LA 70122-5336 2020-09-09
1013522879 Marillac Community Health Centers Clinic/Center 1423 Saint Philip St, New Orleans, LA 70116-2933 2020-09-09
1669086690 Marillac Community Health Centers Clinic/Center 1908 Short St, Kenner, LA 70062-7550 2020-09-08
1023629425 Winn Community Health Center, Inc. Clinic/Center 2200 N Bolton Ave, Alexandria, LA 71303-4407 2020-08-11
1467061515 Council for Advancement of Social Service and Education Clinic/Center 1560 Irving Place, Shreveport, LA 71101-4604 2020-07-24
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Competitor

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City THIBODAUX
Zip Code 70301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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