Teche Action Board, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

TECHE ACTION BOARD, INC.

Doing business as

Teche Action Clinic @ Acadian Elementary School

Practice address

1020 Saadi St
Houma, LA 70363-6748

Phone

(985) 876-8465

Fax

(985) 876-8466

NPI assigned

Dec 14, 2022

Last updated

Jul 12, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

TECHE ACTION BOARD, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary M Wiltz, MDNPI 1477596351

Title

Ceo

Phone

(337) 828-2550

Specialties & licenses 1

Addresses

Other names 1

• Teche Action Clinic @ Acadian Elementary School Doing business as

Part of

Lisa C Southall

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary M Wiltz, M.D.

  • Internal Medicine Physician
  • Franklin, LA
  • NPI 1477596351
  Authorized official Same address or phone
• Carolyn Higdon, LPC

  • Professional Counselor
  • Franklin, LA
  • NPI 1396226767
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1427760149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SAADI ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703636748",
            "telephone_number": "985-876-8465",
            "fax_number": "985-876-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECHE ACTION BOARD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TECHE ACTION BOARD, INC.",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "WILTZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-828-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teche Action Clinic @ Acadian Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teaaa-Stars Reliable Nemt Services LLC
• Team DME
• Teche Action Board Inc (Teche Action Clinic Pharmacy @ Houma)
• Teche Action Board, Inc. (Teche Health @ Houma West)
• Teche Action Board, Inc. (Teche Health @ Davuluri Children's Clinic)
• Teche Action Board, Inc. (Teche Health @ Houma East)
• Teche Action Board, Inc. (Teche Health @ Sugarland)
• Claire Templet, RDN
• Sophia Templin
• Terrebonne Assn for Retarded Citizens, Inc

• Federally Qualified Health Center (FQHC) in Houma, LA
• Providers in Houma, LA by specialty
• Federally Qualified Health Center (FQHC) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.