Iberville Charter Academy Satellite Clinic

LBN: St Gabriel Health Clinic, Inc
Iberville Charter Academy Satellite Clinic is an health care organization with primary practice located at 24360 Enterprise Boulevard , Plaquemine LA 70764. 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. St Gabriel Health Clinic, Inc can be contacted via phone (225) 642-9676, or through Antwine, Marilyn B via phone (225) 642-9676.

Contact Information

Primary practice address
24360 Enterprise Boulevard Plaquemine LA 70764
Phone: (225) 642-9676
Fax: (225) 642-9696
Website:
Map and Directions
Authorized official contact:
Name: Antwine, Marilyn B
Phone: (225) 642-9676

Health care specialties

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

Profile Details

NPI number 1356718662
LBN Legal business name St Gabriel Health Clinic, Inc
DBA Doing business as Iberville Charter Academy Satellite Clinic
Authorized official Antwine, Marilyn B
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 24th, 2015
Last updated Aug 24th, 2015 - about 10 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.

Request for update

Popular Providers