Organization
EAST IBERVILLE ELEM/HIGH SCHOOL BASE HEALTH CLINIC
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
3285 HIGHWAY 75, SAINT GABRIEL, LA 70776-4409
(225) 642-9676
(225) 642-9696
Mailing address
PO BOX 209, SAINT GABRIEL, LA 70776-0209
(225) 642-3676
(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
—
1457680
—
LA
Enumeration date
03/19/2008
Last updated
04/21/2025
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