| Glen Oaks Middle School Primary Care Center | |
|
5600 Monticello Dr St Gabriel LA 70776 | |
| (225) 642-9676 | |
| (225) 642-9696 |
| Full Name | Glen Oaks Middle School Primary Care Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5600 Monticello Dr, St Gabriel, Louisiana |
| Authorized Official Name and Position | Marilyn B Antwine (DIRECTOR OF REIMBURSEMENTS) |
| Authorized Official Contact | 2256429676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Oaks Middle School Primary Care Center 5300 Monarch Ave Baton Rouge LA 70811-5628 Ph: (225) 810-3125 | Glen Oaks Middle School Primary Care Center 5600 Monticello Dr St Gabriel LA 70776 Ph: (225) 642-9676 |
| NPI Number | 1225487101 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225487101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
St Gabriel Health Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5760 Monticello Drive, St Gabriel, LA 70776 Phone: 225-642-9676 Fax: 225-642-9696 | |
Iberville Elem School Base Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5760 Monticello Dr, St Gabriel, LA 70776 Phone: 225-642-9676 Fax: 225-642-9696 |