Organization
TECHE ACTION BOARD, INC.
Active
Parent organization
TECHE ACTION BOARD, INC.
Other names
Teche Health @ Gramercy
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
827 N PINE ST, GRAMERCY, LA 70052-3602
(337) 828-2550
(337) 355-2333
Mailing address
1115 WEBER ST., FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2333
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B803
MEDICARE PART B
LA
Enumeration date
12/09/2019
Last updated
08/11/2025
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