| North Iberville School Based Health Center | |
|
13770 Highway 77 Rosedale LA 70772 | |
| (225) 618-5959 | |
| Not Available |
| Full Name | North Iberville School Based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 13770 Highway 77, Rosedale, Louisiana |
| Authorized Official Name and Position | Kayce Picard (CREDENTIALING/BILLING SUPERVISOR) |
| Authorized Official Contact | 2254923775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Iberville School Based Health Center 6450 La Highway 1 Batchelor LA 70715-3212 Ph: (225) 492-3775 | North Iberville School Based Health Center 13770 Highway 77 Rosedale LA 70772 Ph: (225) 618-5959 |
| NPI Number | 1962285262 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 03/08/2024 |
| Medicare PECOS PAC ID | 9931130358 |
|---|---|
| Medicare Enrollment ID | O20240308002016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962285262 | 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: Not Enrolled in Medicare Practice Location: 13770 Hwy 77, Rosedale, LA 70772 Phone: 225-642-9676 Fax: 225-642-9696 |