St. Gabriel Health Clinic, Inc. | |
13770 Hwy 77 Rosedale LA 70772-0200 | |
(225) 642-9676 | |
(225) 642-9696 |
Full Name | St. Gabriel Health Clinic, Inc. |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 13770 Hwy 77, Rosedale, Louisiana |
Authorized Official Name and Position | Victor Kirk (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2256429676 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Gabriel Health Clinic, Inc. Po Box 209 Saint Gabriel LA 70776-0209 Ph: (225) 642-9676 | St. Gabriel Health Clinic, Inc. 13770 Hwy 77 Rosedale LA 70772-0200 Ph: (225) 642-9676 |
NPI Number | 1912139684 |
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Provider Enumeration Date | 08/14/2009 |
Last Update Date | 08/14/2009 |
Identifier | Type | State | Issuer |
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1912139684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
North Iberville School Based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13770 Highway 77, Rosedale, LA 70772 Phone: 225-618-5959 |