ST GABRIEL HEALTH CLINIC , INC (NPI# 1164949251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164949251 |
| Entity Type | Organization |
| Organization Name | ST GABRIEL HEALTH CLINIC , INC |
| Other Organization Name | UPS ACADEMY SGHC SCHOOL BASED SATELLITE |
| Practice Address |
6180 Winbourne Ave Baton Rouge LA 70805-6266 |
| Mailing Address |
5760 Monticello Dr Saint Gabriel LA 70776-4412 |
| Practice Telephone | 2256429676 |
| Mailing Telephone | 2256429676 |
| Mailing Fax Number | 2256429696 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MRS. MARILYN B ANTWINE (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 2256429676 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST GABRIEL HEALTH CLINIC , INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Glen Oaks School Based Clinic - UP Satellite | Doing Business As Name - Organization |
| UPS Academy SGHC School Based Satellite | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7802 Howell Blvd., Baton Rouge, LA 708070000 | 2256429676 | 2256429696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013405646 | St Gabriel Health Clinic, Inc | Clinic/Center | 7800 Innovation Dr, Baton Rouge, LA 70820 | 2018-04-30 |
| 1710475496 | St Gabriel Health Clinic, Inc | Clinic/Center | 1500 N Airway Dr, Baton Rouge, LA 70815-8060 | 2018-04-27 |
| 1760858302 | St Gabriel Health Clinic, Inc | Clinic/Center | 1900 Lobdell Blvd, Baton Rouge, LA 70806-1725 | 2015-08-18 |
| Street Address |
6180 WINBOURNE AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70805-6266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481445 | Upgrade Group Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805 | 2019-11-13 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1093234783 | Omar Feme Braggs I | Counselor | 3973 Choctaw Drive, Baton Rouge, LA 70805 | 2017-09-13 |
| 1558883116 | Jeffrey Williams | Counselor | 3456 Eaton Street, Baton Rouge, LA 70805 | 2017-07-14 |
| 1215466628 | Angel Danielle Morgan | Counselor | 3540 Ontario St., Baton Rouge, LA 70805 | 2017-06-08 |
| 1376904151 | Mama's Medical Transportation | Non-emergency Medical Transport (VAN) | 2727 North Ardenwood Dr., Baton Rouge, LA 70805 | 2016-03-08 |
| 1013389105 | Tiffany Thomas | Counselor | 8325 Kelwood Avenue, Baton Rouge, LA 70805 | 2015-10-28 |
| 1366823395 | Travia Linette Washington | Community Health Worker | 2959 Sherwood St, Baton Rouge, LA 70805 | 2015-06-16 |
| 1295000164 | Capital Area Human Services District | Substance Abuse Rehabilitation Facility | 2455 Wooddale Blvd., Baton Rouge, LA 70805 | 2012-03-12 |
| 1427332238 | Carl P Thibodeaux | Pharmacist | 5889 Airline Highway, Baton Rouge, LA 70805 | 2011-09-29 |
| Find all providers in zip 70805 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093371494 | St. Gabriel Health Clinic, Inc | Clinic/Center | 3605 Ontario St, Baton Rouge, LA 70805-5840 | 2019-05-13 |
| 1447816954 | St. Gabriel Health Clinic, Inc | Clinic/Center | 4705 Lanier Dr, Baton Rouge, LA 70812-4020 | 2019-05-10 |
| 1013405646 | St Gabriel Health Clinic, Inc | Clinic/Center | 7800 Innovation Dr, Baton Rouge, LA 70820 | 2018-04-30 |
| 1710475496 | St Gabriel Health Clinic, Inc | Clinic/Center | 1500 N Airway Dr, Baton Rouge, LA 70815-8060 | 2018-04-27 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1760858302 | St Gabriel Health Clinic, Inc | Clinic/Center | 1900 Lobdell Blvd, Baton Rouge, LA 70806-1725 | 2015-08-18 |
| 1962777136 | St. Gabriel Health Clinic, Inc. | Clinic/Center | 1707 Gardere Ln Ste E, Baton Rouge, LA 70820-8144 | 2012-03-20 |
| 1255665832 | Baton Rouge Primary Care Collabora | Clinic/Center | 153 N. 17th Street, Baton Rouge, LA 70802-3813 | 2009-09-29 |
| 1457974693 | Hiv-aids Alliance for Region Two | Clinic/Center | 3905 Convention St, Baton Rouge, LA 70806-3806 | 2020-05-22 |
| 1770119588 | Hiv/aids Alliance for Region Two, Inc | Clinic/Center | 3849 North Blvd, Baton Rouge, LA 70806-3854 | 2020-03-13 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70805 |
Please comment or provide details below to improve the information on ST GABRIEL HEALTH CLINIC , INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.