Provider Demographics
NPI:1215058466
Name:WEST FELICIANA SCHOOL BOARD
Entity type:Organization
Organization Name:WEST FELICIANA SCHOOL BOARD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FSC SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAUCHE'
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-635-5299
Mailing Address - Street 1:P.O. BOX 2820
Mailing Address - Street 2:
Mailing Address - City:ST. FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775
Mailing Address - Country:US
Mailing Address - Phone:225-635-5299
Mailing Address - Fax:225-635-3387
Practice Address - Street 1:9794 BAINS RD.
Practice Address - Street 2:
Practice Address - City:ST. FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775
Practice Address - Country:US
Practice Address - Phone:225-635-5299
Practice Address - Fax:225-635-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1447081Medicaid