# ST GABRIEL HEALTH CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST. GABRIEL HEALT H CLINIC, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093874000
- **Authorized official:** MR. ASHLEY T. LEVY (CEO)
- **Authorized official phone:** (225) 642-9676

## Contact information

- **Practice address:** 5760 MONTICELLO DR, SAINT GABRIEL, LA 70776-4412
- **Practice address phone:** (225) 642-9676
- **Practice address fax:** (225) 642-9696
- **Mailing address:** PO BOX 209, SAINT GABRIEL, LA 70776-0209
- **Mailing address phone:** (225) 642-9676
- **Mailing address fax:** (225) 642-9696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 05/02/2025