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
—
—
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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