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Organization

INNIS COMMUNITY HEALTH CENTER, INC

Active
Other names
Maringouin Community Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
RACHEL NELSON (DIRECTOR OF OPERATIONS)
(225) 492-3775
Entity
Organization

Contact information

Practice address
77575 LANDRY DRIVE, MARINGOUIN, LA 70757-3028
(225) 625-2105
(225) 625-2109
Mailing address
6450 LOUISIANA HIGHWAY 1, BATCHELOR, LA 70715
(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
2408909
LA
Enumeration date
09/16/2015
Last updated
11/18/2021
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