Organization
INNIS COMMUNITY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY G PEAVY (EXECUTIVE DIRECTOR)
(225) 492-3775
Entity
Organization
Contact information
Practice address
6450 LOUISIANA HIGHWAY 1, BATCHELOR, LA 70715-6450
(225) 492-3775
(225) 492-3782
Mailing address
6450 LOUISIANA HIGHWAY 1, BATCHELOR, LA 70715-6450
(225) 492-3775
(225) 492-3782
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441961
—
LA
Enumeration date
07/24/2006
Last updated
11/18/2021
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