National Provider Identifier Database

EXCELTH INCORPORATED
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

EXCELTH, INCORPORATED
730 COLONIAL DR STE E
BATON ROUGE, LA70806-6536
Phone: 225-201-0751
Fax: 225-706-0173
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for EXCELTH, INCORPORATED

NPI Number 1710914049
Legal business name
LBN
EXCELTH, INCORPORATED
Authorized official MICHAEL ANDRY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/26/2006
Last updated 01/22/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1441589
  • LA Medicaid: 1944581

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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