Organization
ST. GABRIEL HEALTH CLINIC, INC.
Active
Other names
CELERITY DALTON - ST. GABRIEL HEALTH CLINIC, INC., St. Gabriel Health Clinic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY T LEVY (CEO)
(225) 642-9676
Entity
Organization
Contact information
Practice address
3605 ONTARIO ST, BATON ROUGE, LA 70805-5840
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2503341
—
LA
Enumeration date
05/13/2019
Last updated
05/02/2025
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