Organization
CELERITY - LANIER
Active
Parent organization
ST. GABRIEL HEALTH CLINIC, INC
Other names
St. Gabriel Health Clinic, Inc., St Gabriel Health Clinic Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. GABRIEL HEALTH CLINIC, INC
Authorized official
ASHLEY T LEVY (CEO)
(225) 642-9676
Entity
Organization
Contact information
Practice address
4705 LANIER DR, BATON ROUGE, LA 70812-4020
(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
—
2503146
—
LA
Enumeration date
05/10/2019
Last updated
04/21/2025
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