MADISON HIGH SBHC; NPI #1619098498

Contact Information

MADISON HIGH SBHC

301 S. CHESTNUT
TALLULAH, LA 71282

Phone: 318-574-5371
Fax: 318-574-5345
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for MADISON HIGH SBHC

NPI # 1619098498

LBN Legal business name MADISON HIGH SBHC

Authorized official SYLVIA REDD - (APNP)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/02/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

LA	Medicaid	1101486
LA	Medicaid	1316288
LA	Medicaid	1446343

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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