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ST GABRIEL HEALTH CLINIC INC NPI 1710354022


NPI Information

NPI: 1710354022
Provider Name: ST GABRIEL HEALTH CLINIC, INC

Doing Business As: SOUTH BATON ROUGE CHARTER ACADEMY SATELLITE CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
9211 PARKWAY DR
BATON ROUGE, LA
ZIP 70810
Phone: (225) 349-7489
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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 1710354022. The provider is registered as an organization entity type.
The provider Is Doing Business As South Baton Rouge Charter Academy Satellite Clinic.

The provider's business location address is:

9211 PARKWAY DR
BATON ROUGE, LA
ZIP 70810
Phone: (225) 349-7489
Fax: (225) 646-9696

The provider's authorized official is Marilyn B Antwine .
The authorized official title is Coo and has the following contact phone number (225) 642-9676.

The enumeration date for this NPI number is 8/24/2015 and was last updated on 8/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.