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Organization
MADISON HIGH SBHC
Active
Organization
MADISON HIGH SBHC
Active
Other names
Reuben McCall School Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYLVIA FARRISH REDD FNP (APNP)
(318) 574-5371
Entity
Organization
Contact information
Practice address
301 S. CHESTNUT, TALLULAH, LA 71282
(318) 574-5371
(318) 574-5345
Mailing address
900 WYCHE ST, TALLULAH, LA 71282
(318) 574-5371
(318) 574-5345
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101486
—
LA
05
—
1316288
—
LA
05
—
1446343
—
LA
Enumeration date
04/02/2007
Last updated
08/22/2020
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