Provider Demographics
NPI:1912165051
Name:TERREBONNE PARISH SCHOOL BOARD
Entity Type:Organization
Organization Name:TERREBONNE PARISH SCHOOL BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:985-876-7400
Mailing Address - Street 1:201 STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-2732
Mailing Address - Country:US
Mailing Address - Phone:985-876-7400
Mailing Address - Fax:985-872-1205
Practice Address - Street 1:201 STADIUM DR
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-2732
Practice Address - Country:US
Practice Address - Phone:985-876-7400
Practice Address - Fax:985-872-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1415561Medicaid