# MADISON HIGH SBHC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reuben McCall School Based Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619098498
- **Authorized official:** MS. SYLVIA FARRISH REDD FNP (APNP)
- **Authorized official phone:** (318) 574-5371

## Contact information

- **Practice address:** 301 S. CHESTNUT, TALLULAH, LA 71282
- **Practice address phone:** (318) 574-5371
- **Practice address fax:** (318) 574-5345
- **Mailing address:** 900 WYCHE ST, TALLULAH, LA 71282
- **Mailing address phone:** (318) 574-5371
- **Mailing address fax:** (318) 574-5345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1101486 | — | LA |
| 05 | — | 1316288 | — | LA |
| 05 | — | 1446343 | — | LA |