ST GABRIEL HEALTH CLINIC INC (NPI# 1225487101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225487101 |
Entity Type | Organization |
Organization Name | ST GABRIEL HEALTH CLINIC INC |
Other Organization Name | GLEN OAKS MIDDLE SCHOOL PRIMARY CARE CENTER |
Practice Address |
5600 Monticello Dr St Gabriel LA 70776 |
Mailing Address |
5300 Monarch Ave Baton Rouge LA 70811-5628 |
Practice Telephone | 2256429676 |
Practice Fax Number | 2256429696 |
Mailing Telephone | 2258103125 |
Mailing Fax Number | 2256429696 |
Enumeration Date | 2016-06-10 |
Last Update Date | 2016-06-10 |
Authorized Official Name | MARILYN B ANTWINE (DIRECTOR OF REIMBURSEMENTS) |
Authorized Official Telephone | 2256429676 |
Is Organization Subpart | Y |
Parent Organization Name | ST GABRIEL HEALTH CLINIC INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Glen Oaks Middle School Primary Care Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821464587 | St Gabriel Health Clinic Inc | Clinic/Center | 5760 Monticello, St Gabriel, LA 70776 | 2015-08-18 |
1093874000 | St Gabriel Health Clinic Inc | Family Medicine | 5760 Monticello Drive, St Gabriel, LA 70776 | 2006-12-06 |
Street Address |
5600 MONTICELLO DR |
City | ST GABRIEL |
State | LA |
Zip Code | 70776 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821464587 | St Gabriel Health Clinic Inc | Clinic/Center | 5760 Monticello, St Gabriel, LA 70776 | 2015-08-18 |
1942575105 | Reginald Grace Sr. | Counselor | 6225 Plantation Dr., St. Gabriel, LA 70776 | 2012-03-20 |
1407185226 | Vonda Kay Gustin | Nurse Practitioner | 6295 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
1912236738 | Cynthia Anne Park | Clinical Nurse Specialist | 6925 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
1417147851 | Adolph Brooks Cronan Jr. | Family Medicine | River Road, Syngenta Corp, St Gabriel, LA 70776 | 2007-08-01 |
1215159272 | Pamela B. Ross | Nurse Practitioner | 7205 Hwy. 74, St. Gabriel, LA 70776 | 2007-05-02 |
1548310881 | George Elliott Inc | Pharmacy | 6150 Hwy 74, St Gabriel, LA 70776 | 2007-01-11 |
1790014512 | Johnny Francois Prejean Jr. | Internal Medicine | 6925 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
1861635443 | Maureen Coughlin | Social Worker | 5760 Monticello Drive, St Gabriel, LA 70776 | 2009-04-13 |
1194996025 | Iberville Elem School Base Health Clinic | Clinic/Center | 5760 Monticello Dr, St Gabriel, LA 70776 | 2008-03-19 |
Find all providers in zip 70776 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821464587 | St Gabriel Health Clinic Inc | Clinic/Center | 5760 Monticello, St Gabriel, LA 70776 | 2015-08-18 |
1194996025 | Iberville Elem School Base Health Clinic | Clinic/Center | 5760 Monticello Dr, St Gabriel, LA 70776 | 2008-03-19 |
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Find all providers with the same taxonomy |
City | ST GABRIEL |
Zip Code | 70776 |
Please comment or provide details below to improve the information on ST GABRIEL HEALTH CLINIC INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.