Iberville Elem School Base Health Clinic

LBN: Iberville Elem School Base Health Clinic
Iberville Elem School Base Health Clinic is an health care organization with primary practice located at 5760 Monticello Dr , St Gabriel LA 70776. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Iberville Elem School Base Health Clinic can be contacted via phone (225) 642-9676, or through Adams, Phyllis via phone (225) 642-9676.

Contact Information

Primary practice address
5760 Monticello Dr St Gabriel LA 70776
Phone: (225) 642-9676
Fax: (225) 642-9696
Website:
Map and Directions
Authorized official contact:
Name: Adams, Phyllis
Phone: (225) 642-9676

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1194996025
LBN Legal business name Iberville Elem School Base Health Clinic
DBA Doing business as
Authorized official Adams, Phyllis
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Mar 19th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194996025 NPPES
Louisiana MEDICAID 1457701

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