institution
Iberville Elem School Base Health Clinic
Federally Qualified Health Center (FQHC) in St Gabriel, Louisiana
NPI 1194996025

Iberville Elem School Base Health Clinic is a Federally Qualified Health Center (FQHC) based in St Gabriel, LA and is specialized in Federally Qualified Health Center (FQHC). Iberville Elem School Base Health Clinic practices in St Gabriel, LA. The NPI Number for Iberville Elem School Base Health Clinic is 1194996025 and holds a License No. (Louisiana).

The current practice location address for Iberville Elem School Base Health Clinic is 5760 Monticello Dr, St Gabriel, LA and can be reached out via phone at 225-642-9676 and via fax at 225-642-9696.

Location: 5760 Monticello Dr, St Gabriel, LA, 70776
institution
Provider Profile Details
NPI Number
1194996025
Provider Name
Iberville Elem School Base Health Clinic
Credential
Provider Entity Type
Organization
Address
5760 Monticello Dr, St Gabriel, LA, 70776
Phone Number
225-642-9676
Fax Number
225-642-9696
Provider Enumeration Date
03/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457701 05 LA
institution
Provider Business Practice Location Address Details
Address
5760 Monticello Dr
City
State
Zip
70776
Phone Number
225-642-9676
Fax Number
225-642-9696
person
Provider Business Mailing Address Details
Address
5760 Monticello Dr
City
State
Zip
70776
Phone Number
225-642-9676
Fax Number
225-642-9696
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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