ST GABRIEL HEALTH CLINIC , INC is a federally qualified health center (fqhc) clinic center in Baton Rouge, LA. ST GABRIEL HEALTH CLINIC , INC NPI is 1164949251. The provider is registered as an organization entity type.
The provider Is Doing Business As Ups Academy Sghc School Based Satellite.
The provider's business location address is:
6180 WINBOURNE AVE
BATON ROUGE, LA
ZIP 70805-266
Phone: (225) 642-9676
The provider's authorized official is Marilyn B Antwine .
The authorized official title is Compliance Officer and has the following contact phone number (225) 642-9676.
The CLIA number assigned to this NPI record is 19D2043370 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/29/2017 and was last updated on 3/17/2018.