MADISON HIGH SBHC – NPI #1619098498
Clinic/Center

MADISON HIGH SBHC is an AHC clinic located in TALLULAH, LA. NPPES has assigned the NPI number 1619098498 to MADISON HIGH SBHC on April 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is REUBEN MCCALL SCHOOL BASED HEALTH CENTER. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MADISON HIGH SBHC below.

NPI Profile for
MADISON HIGH SBHC

NPI Number
1619098498
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MADISON HIGH SBHC
Former Legal Business Name: REUBEN MCCALL SCHOOL BASED HEALTH CENTER
Primary location
301 S. CHESTNUT
TALLULAH, LA 71282
Phone: (318) 574-5371 Fax: (318) 574-5345
Mailing address
900 WYCHE ST
TALLULAH, LA 71282
Phone: (318) 574-5371 Fax: (318) 574-5345
Organization Subpart
No
Authorized Official
SYLVIA REDD
APNP
Phone: (318) 574-5371
Updated
Identifiers

Identifiers for MADISON HIGH SBHC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1101486
MEDICAIDLA1446343
MEDICAIDLA1316288
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.