NPIMap

Organization Active NPI

Math Science and Art Academy Health Clinic

Doing business as St Gabriel Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Saint Gabriel, LA
National Provider Identifier
1093006249
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MATH SCIENCE AND ART ACADEMY HEALTH CLINIC
Doing business as
St Gabriel Health Clinic Inc
St. Gabriel Health Clinic, Inc.
Practice address
1825 Highway 30
Saint Gabriel, LA 70776-5326
Phone
(225) 642-9676
Fax
(225) 642-9696
NPI assigned
Apr 22, 2011
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ST GABRIEL HEALTH CLINIC , INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashley T Levy
Title
Ceo
Phone
(225) 642-9676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1825 Highway 30
Saint Gabriel, LA 70776-5326

Mailing address

PO Box 209
Saint Gabriel, LA 70776-0209
Phone (225) 642-9676

Other names 2

  • St Gabriel Health Clinic Inc Doing business as
  • St. Gabriel Health Clinic, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093006249. Details of each certification follow.

  • CCN 191936 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 191936

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MATH SCIENCE AND ARTS ACCADAMY EAST CAMPUS K-12
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 15, 2015
Last certification
Jun 15, 2015
Ownership / control type
For profit – corporation
Facility address
1825 Highway 30
Saint Gabriel, LA 70776

National Provider Directory

National Provider Directory
Part of
St Gabriel Health Clinic Inc

Locations

3605 Ontario St
Baton Rouge, LA 70805

1825 Highway 30
Saint Gabriel, LA 70776

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1093006249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "SAINT GABRIEL",
            "state": "LA",
            "postal_code": "707760209",
            "telephone_number": "225-642-9676",
            "fax_number": "225-642-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 HIGHWAY 30",
            "city": "SAINT GABRIEL",
            "state": "LA",
            "postal_code": "707765326",
            "telephone_number": "225-642-9676",
            "fax_number": "225-642-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATH SCIENCE AND ART ACADEMY HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST GABRIEL HEALTH CLINIC , INC",
        "enumeration_date": "2011-04-22",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-642-9676"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Gabriel Health Clinic Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Gabriel Health Clinic Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Gabriel Health Clinic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Gabriel, LA

Sources for this page

Verify at the official NPI Registry.