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Organization

TECHE ACTION BOARD, INC.

Active
Parent organization
TECHE ACTION BOARD, INC.
Other names
Teche Health SBHC @ West St. Mary H.S
Organization subpart
Yes

Provider details

NPI number
Legal business name
TECHE ACTION BOARD, INC.
Authorized official
DR. GARY M WILTZ M.D. (CEO)
(337) 828-2550
Entity
Organization

Contact information

Practice address
18333 HIGHWAY 182 RM 505, BALDWIN, LA 70514-1449
(337) 924-9418
(337) 924-9165
Mailing address
1115 WEBER ST, 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
1908347
LA
Enumeration date
01/10/2008
Last updated
08/11/2025
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