NPIMap

Organization Active NPI

St. Gabriel Health Clinic, Inc.

Doing business as Celerity Dalton - St. Gabriel Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
National Provider Identifier
1093371494
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ST. GABRIEL HEALTH CLINIC, INC.
Doing business as
Celerity Dalton - St. Gabriel Health Clinic, Inc.
St. Gabriel Health Clinic, Inc.
Practice address
3605 Ontario St
Baton Rouge, LA 70805-5840
Phone
(225) 642-9676
Fax
(225) 642-9696
NPI assigned
May 13, 2019
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 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 NU Primary

Addresses

Primary practice location

3605 Ontario St
Baton Rouge, LA 70805-5840

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2503341MedicaidLA

Other names 2

  • CELERITY DALTON - ST. GABRIEL HEALTH CLINIC, INC. Doing business as
  • St. Gabriel Health Clinic, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Iberville Elemhigh School Base Health Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3605 Ontario St
Baton Rouge, LA 70805

Practitioners & affiliated clinicians

Practitioners 2

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": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1093371494",
    "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": "3605 ONTARIO ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708055840",
            "telephone_number": "225-642-9676",
            "fax_number": "225-642-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GABRIEL HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503341",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CELERITY DALTON - 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 Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.