# NORTHSIDE HIGH SCHOOL HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760674717
- **Authorized official:** WILLIAM F BARROW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (337) 289-2999

## Contact information

- **Practice address:** 301 DUNAND ST, LAFAYETTE, LA 70501-2215
- **Practice address phone:** (337) 261-6995
- **Mailing address:** 301 DUNAND ST, LAFAYETTE, LA 70501-2215
- **Mailing address phone:** (337) 261-6995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2007
- **Last updated:** 05/05/2011