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CH064760 ST GABRIEL HEALTH CLINIC INC (Active)
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Main Details
Name
ST GABRIEL HEALTH CLINIC INC
Subdivision Name
ST. GABRIEL HEALTH CLINIC, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002394
340B ID
CH064760
Grant Number
H80CS00551
Additional Details
Current Program Status
Active
Registration Date
7/1/1999
Participating Start Date
7/1/1999
Participating Approval Date
7/1/1999
Last Recertification Date
3/10/2025
Contacts
Authorizing Official
St. Gabriel Health Clinic, Inc.
Ashley T Levy, CEO
(225) 642-9676 Ext: 119
Primary Contact
St. Gabriel Health Clinic, Inc.
Lyssa Morris, Administrative Liason
(225) 642-9676
Addresses
Street Address
5760 Monticello Dr
Saint Gabriel, LA 70776
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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