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Organization

ST GABRIEL HEALTH CLINIC INC

Active
Parent organization
ST. GABRIEL HEALTH CLINIC, INC
Other names
Gardere Center for Primary Care, St Gabriel Health Clinic Inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. GABRIEL HEALTH CLINIC, INC
Authorized official
MRS. LYSSA MORRIS MSN (INTERIM CHIEF EXECUTIVE OFFICER)
(225) 642-9676
Entity
Organization

Contact information

Practice address
1707 GARDERE LN STE E, BATON ROUGE, LA 70820-8166
(225) 930-4922
(225) 930-4926
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
2191217
LA
Enumeration date
03/20/2012
Last updated
07/01/2025
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