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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for EXCELTH, INCORPORATED

NPI Number 1710914049
LBN Legal business name EXCELTH, INCORPORATED
Authorized official MICHAEL ANDRY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2006
Last updated 01/22/2024 - About 2 years ago
Identifiers
LA Medicaid 1441589
LA Medicaid 1944581
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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