St. Gabriel Clinic
LBN: Daniel D Bekele Llc
St. Gabriel Clinic is an health care organization with primary practice located at 6113 Ridge Ave , Saint Louis MO 63133. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Daniel D Bekele Llc can be contacted via phone (720) 235-6443, or through Bekele, Daniel Desta via phone (314) 230-9050.
Contact Information
Primary practice address
6113 Ridge Ave
Saint Louis MO 63133
Phone: (720) 235-6443
Fax:
Website:
Authorized official contact:
Name: Bekele, Daniel Desta Doctor of Medicine (MD)
Phone: (314) 230-9050
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | Missouri | |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | Missouri |
Profile Details
| NPI number | 1326524604 |
|---|---|
| LBN Legal business name | Daniel D Bekele Llc |
| DBA Doing business as | St. Gabriel Clinic |
| Authorized official | Bekele, Daniel Desta Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2018 |
| Last updated | Jun 11th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326524604 | NPPES |
| Missouri | MEDICAID | 830059014 |
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