Healthcare Provider Details

I. General information

NPI: 1215058466
Provider Name (Legal Business Name): WEST FELICIANA SCHOOL BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 11/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9794 BAINS RD.
ST. FRANCISVILLE LA
70775
US

IV. Provider business mailing address

P.O. BOX 2820
ST. FRANCISVILLE LA
70775
US

V. Phone/Fax

Practice location:
  • Phone: 225-635-5299
  • Fax: 225-635-3387
Mailing address:
  • Phone: 225-635-5299
  • Fax: 225-635-3387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRIDGET PLAUCHE'
Title or Position: FSC SUPERVISOR
Credential:
Phone: 225-635-5299