Organization · Type 2 NPI
Primary Care Providers for A Healthy Feliciana Inc
Federally Qualified Health Center (FQHC) · Tickfaw, LA
NPI number
1104703602
Active
Practice location
48405 Highway 51
Tickfaw, LA 70466-1915
Fax (225) 683-1310
Mailing address
PO Box 395
Clinton, LA 70722-0395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Tickfaw
About NPI 1104703602
Primary Care Providers for A Healthy Feliciana Inc's National Provider Identifier is 1104703602, issued on Aug 18, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Tickfaw, LA. The record was last updated on Aug 18, 2025.