Organization
TECHE ACTION BOARD INC
Active
Parent organization
TECHE ACTION BOARD, INC.
Other names
Teche Health @ Reserve
Organization subpart
Yes
Provider details
NPI number
Legal business name
TECHE ACTION BOARD, INC.
Authorized official
DR. GARY M WILTZ MD (CEO)
(337) 828-2550
Entity
Organization
Contact information
Practice address
471 CENTRAL AVE, RESERVE, LA 70084-5509
(985) 479-1315
(985) 479-1328
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
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803782
—
LA
01
—
5B803
MEDICARE PART B
LA
Enumeration date
12/19/2008
Last updated
08/11/2025
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