| Iberville Elem School Base Health Clinic | |
|
5760 Monticello Dr St Gabriel LA 70776 | |
| (225) 642-9676 | |
| (225) 642-9696 |
| Full Name | Iberville Elem School Base Health Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5760 Monticello Dr, St Gabriel, Louisiana |
| Authorized Official Name and Position | Phyllis Adams (CEO) |
| Authorized Official Contact | 2256429676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iberville Elem School Base Health Clinic 5760 Monticello Dr St Gabriel LA 70776 Ph: (225) 642-9676 | Iberville Elem School Base Health Clinic 5760 Monticello Dr St Gabriel LA 70776 Ph: (225) 642-9676 |
| NPI Number | 1194996025 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194996025 | NPI | - | NPPES |
| 1457701 | Medicaid | LA |
| 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 | |
Glen Oaks Middle School Primary Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 Monticello Dr, St Gabriel, LA 70776 Phone: 225-642-9676 Fax: 225-642-9696 |