Organization · Type 2 NPI

Tensas Community Health Center Inc.

Federally Qualified Health Center (FQHC) · Vidalia, LA

NPI number 1235600990 Active

Practice location

900 Carter St Ste A
Vidalia, LA 71373-3208

Call (318) 766-1967 Map

Mailing address

PO Box 46
St. Joseph, LA 71366-0046

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1235600990
Entity type: Organization (Type 2)
Issued: Dec 6, 2018
Last updated: Apr 30, 2020
Status: Active
Subpart: Yes of Tensas Community Health Center Inc.

Other names

<unavail>
Vidalia Community Health Center · doing business as
Vidalia Community Health Center · doing business as

Authorized official

Dawn C Johnson
Office Manager
(318) 766-1967

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235600990

Tensas Community Health Center Inc.'s National Provider Identifier is 1235600990, issued on Dec 6, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Vidalia, LA. The record was last updated on Apr 30, 2020.