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Madison High Sbhc
Student Health Clinic/Center in Tallulah, Louisiana
NPI 1619098498

Madison High Sbhc is a Student Health Clinic/Center based in Tallulah, LA and is specialized in Student Health. Madison High Sbhc practices in Tallulah, LA. The NPI Number for Madison High Sbhc is 1619098498 and holds a License No. (Louisiana).

The current practice location address for Madison High Sbhc is 301 S. Chestnut, Tallulah, LA and can be reached out via phone at 318-574-5371 and via fax at 318-574-5345.

Location: 301 S. Chestnut, Tallulah, LA, 71282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619098498
Provider Name
Madison High Sbhc
Credential
Provider Entity Type
Organization
Address
301 S. Chestnut, Tallulah, LA, 71282
Phone Number
318-574-5371
Fax Number
318-574-5345
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1446343 05 LA
1316288 05 LA
1101486 05 LA
institution
Provider Business Practice Location Address Details
Address
301 S. Chestnut
City
Tallulah
State
Louisiana
Zip
71282
Phone Number
318-574-5371
Fax Number
318-574-5345
person
Provider Business Mailing Address Details
Address
301 S. Chestnut
City
Tallulah
State
Louisiana
Zip
71282
Phone Number
318-574-5371
Fax Number
318-574-5345
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
261QS1000X
License No.
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Definition
Definition to come...
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