Healthcare Provider Details

I. General information

NPI: 1720054075
Provider Name (Legal Business Name): TENSAS COMMUNITY HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date: 08/23/2018
Reactivation Date: 12/12/2018

III. Provider practice location address

402 LEVEE RD
SAINT JOSEPH LA
71366-6661
US

IV. Provider business mailing address

402 LEVEE RD
SAINT JOSEPH LA
71366-6661
US

V. Phone/Fax

Practice location:
  • Phone: 318-766-1967
  • Fax: 318-766-9090
Mailing address:
  • Phone: 318-766-1967
  • Fax: 318-766-9090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateLA

VIII. Authorized Official

Name: MRS. JACQUELINE SCHAUF
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 318-766-1967