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ST GABRIEL HEALTH CLINIC INC NPI 1760858302


NPI Information

NPI: 1760858302
Provider Name: ST GABRIEL HEALTH CLINIC , INC

Doing Business As: BATON ROUGE CHARTER ACADEMY AT MID CITY SATELLITE CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1900 LOBDELL BLVD
BATON ROUGE, LA
ZIP 70806
Phone: (225) 810-3125
Get Directions

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 1760858302. The provider is registered as an organization entity type.
The provider Is Doing Business As Baton Rouge Charter Academy At Mid City Satellite Clinic.

The provider's business location address is:

1900 LOBDELL BLVD
BATON ROUGE, LA
ZIP 70806-725
Phone: (225) 810-3125
Fax: (225) 642-9696

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 8/18/2015 and was last updated on 8/18/2015.


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.