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Organization
ST GABRIEL HEALTH CLINIC INC
Active
Organization
ST GABRIEL HEALTH CLINIC INC
Active
Other names
ST. GABRIEL HEALT H CLINIC, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHLEY T. LEVY (CEO)
(225) 642-9676
Entity
Organization
Contact information
Practice address
5760 MONTICELLO DR, SAINT GABRIEL, LA 70776-4412
(225) 642-9676
(225) 642-9696
Mailing address
PO BOX 209, SAINT GABRIEL, LA 70776-0209
(225) 642-9676
(225) 642-9696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
12/06/2006
Last updated
05/02/2025
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