ST GABRIEL HEALTH CLINIC, INC (NPI# 1356718662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356718662 |
| Entity Type | Organization |
| Organization Name | ST GABRIEL HEALTH CLINIC, INC |
| Other Organization Name | IBERVILLE CHARTER ACADEMY SATELLITE CLINIC |
| Practice Address |
24360 Enterprise Boulevard Plaquemine LA 70764 |
| Mailing Address |
Po Box 209 Saint Gabriel LA 70776-0209 |
| Practice Telephone | 2256429676 |
| Practice Fax Number | 2256429696 |
| Mailing Telephone | 2256429676 |
| Mailing Fax Number | 2256429696 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | MARILYN B ANTWINE (COO) |
| 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 |
|---|---|
| Iberville Charter Academy Satellite Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| Street Address |
24360 ENTERPRISE BOULEVARD |
| City | PLAQUEMINE |
| State | LA |
| Zip Code | 70764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659841138 | Access Health Louisiana | Clinic/Center | 58650 Iron Farm Road, Plaquemine, LA 70764 | 2018-11-28 |
| 1982194817 | The Harmony Center, Inc. | Family Medicine | 59213 Riverwest Dr., Plaquemine, LA 70764 | 2018-05-16 |
| 1770085938 | Angelica Darlynetta Peterson | Counselor | 58205 Bayou Jacob Rd, Plaquemine, LA 70764 | 2018-03-05 |
| 1841727500 | Bruce Greene | Counselor | 22900 Blakeney Dr, Plaqumine, LA 70764 | 2017-05-12 |
| 1104359801 | Gina J. Martin | Counselor | 58155 Chinn Street, Suite A, Plaquemine, LA 70764 | 2017-04-10 |
| 1831555713 | Dwayne Harmson | Social Worker | 23905 Castle Court St, Plaquemine, LA 70764 | 2016-01-08 |
| 1013344621 | Ochnser Health Center-eyecare Iberville | Eyewear Supplier (Equipment, not the service) | 25420 La Highway 1, Suite E, Plaquemine, LA 70764 | 2013-09-27 |
| 1861657421 | Signs & Wonders Community Mental Health Center LLC | Clinic/Center | 25341 Hwy 1 South, Plaquemine, LA 70764 | 2008-07-23 |
| 1205018389 | Physicians Imaging - Iberville LLC | Clinic/Center | 59295 River West Drive, Suite D, Plaquemine, LA 70764 | 2007-11-30 |
| 1124225362 | West Bank Cardiology LLC | Internal Medicine | 59335 River West Drive, Suites C&d, Plaquemine, LA 70764 | 2007-06-29 |
| Find all providers in zip 70764 | ||||
| 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 |
|---|---|---|---|---|
| 1528548617 | Access Health Louisiana | Clinic/Center | 57955 Saint Louis Rd, Plaquemine, LA 70764-6624 | 2018-08-17 |
| 1457704900 | Access Health Louisiana | Clinic/Center | 59595 Belleview Dr, Plaquemine, LA 70764-6500 | 2016-07-20 |
| 1801210133 | Capitol City Family Health Center, Inc | Clinic/Center | 59340 River West Dr, Suite A & B, Plaquemine, LA 70764-6553 | 2014-02-06 |
| 1568690535 | Primary Healthcare of Southeast La LLC | Clinic/Center | 57935 Mcdaniel St, Plaquemine, LA 70764-2039 | 2009-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120614 | Marillac Community Health Centers | Clinic/Center | 721 Saint Philip St, New Orleans, LA 70116-2713 | 2020-09-28 |
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
| 1184239642 | Access Health Louisiana | Clinic/Center | 1400 Huey P Long Ave, Gretna, LA 70053-6436 | 2020-09-11 |
| 1770198681 | Marillac Community Health Centers | Clinic/Center | 4000 Cadillac St, New Orleans, LA 70122-1117 | 2020-09-09 |
| 1528673308 | Marillac Community Health Centers | Clinic/Center | 5800 Saint Roch Ave, New Orleans, LA 70122-5336 | 2020-09-09 |
| 1013522879 | Marillac Community Health Centers | Clinic/Center | 1423 Saint Philip St, New Orleans, LA 70116-2933 | 2020-09-09 |
| 1669086690 | Marillac Community Health Centers | Clinic/Center | 1908 Short St, Kenner, LA 70062-7550 | 2020-09-08 |
| 1023629425 | Winn Community Health Center, Inc. | Clinic/Center | 2200 N Bolton Ave, Alexandria, LA 71303-4407 | 2020-08-11 |
| 1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | PLAQUEMINE |
| Zip Code | 70764 |
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.