St Gabriel Health Clinic Inc
LBN: East Iberville Elem/High School Base Health Clinic
St Gabriel Health Clinic Inc is an health care organization with primary practice located at 3285 Highway 75 , Saint Gabriel LA 70776-4409. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
East Iberville Elem/High School Base Health Clinic can be contacted via phone (225) 642-9676, or through Wade, Shirley Freeman via phone (225) 642-9676.
Contact Information
Primary practice address
3285 Highway 75
Saint Gabriel LA 70776-4409
Phone: (225) 642-9676
Fax: (225) 642-9696
Website:
Authorized official contact:
Name: Wade, Shirley Freeman Family Nurse Practitioner (FNP)
Phone: (225) 642-9676
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1922279843 |
|---|---|
| LBN Legal business name | East Iberville Elem/High School Base Health Clinic |
| DBA Doing business as | St Gabriel Health Clinic Inc |
| Authorized official | Wade, Shirley Freeman Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 19th, 2008 |
| Last updated | Oct 26th, 2022 - about 3 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 | 1922279843 | NPPES |
| Louisiana | MEDICAID | 1457680 |
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