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Contact Information

EAST IBERVILLE ELEM/HIGH SCHOOL BASE HEALTH CLINIC
3285 HIGHWAY 75
SAINT GABRIEL, LA70776-4409
 Phone: 225-642-9676
 Fax: 225-642-9696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for EAST IBERVILLE ELEM/HIGH SCHOOL BASE HEALTH CLINIC

NPI Number 1922279843
LBN Legal business name EAST IBERVILLE ELEM/HIGH SCHOOL BASE HEALTH CLINIC
Authorized official ASHLEY LEVY - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/19/2008
Last updated 04/21/2025 - More than a year ago
Identifiers
LA Medicaid 1457680
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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