Organization · Type 2 NPI
East Iberville Elem/high School Base Health Clinic
Federally Qualified Health Center (FQHC) · St. Gabriel, LA
NPI number
1922279843
Active
Practice location
3285 Highway 75
St. Gabriel, LA 70776-4409
Fax (225) 642-9696
Mailing address
PO Box 209
St. Gabriel, LA 70776-0209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1922279843
East Iberville Elem/high School Base Health Clinic's National Provider Identifier is 1922279843, issued on Mar 19, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in St. Gabriel, LA. The record was last updated on Apr 21, 2025.