Organization
TECHE ACTION BOARD, INC.
Active
Parent organization
TECHE ACTION BOARD, INC.
Other names
Teche Health @ Edgard
Organization subpart
Yes
Provider details
NPI number
Legal business name
TECHE ACTION BOARD, INC.
Authorized official
DR. GARY M WILTZ M.D. (CHIEF EXECUTIVE OFFICER)
(337) 828-2550
Entity
Organization
Contact information
Practice address
159 E 3RD ST, EDGARD, LA 70049-2450
(985) 497-8726
(985) 497-3108
Mailing address
1115 WEBER STREET, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2335
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134434
—
LA
01
—
5B803
PART B
LA
Enumeration date
06/02/2006
Last updated
08/11/2025
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