Organization
INNIS COMMUNITY HEALTH CENTER, INC
Active
Other names
Livonia School Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY PEAVY (EXEUTIVE DIRECTOR)
(225) 492-3775
Entity
Organization
Contact information
Practice address
8737 NEWFIELD DRIVE, LIVONIA, LA 70755
(225) 637-2323
(225) 637-2327
Mailing address
6450 LOUISIANA HIGHWAY 1, BATCHELOR, LA 70715
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355830
—
LA
Enumeration date
02/04/2014
Last updated
11/18/2021
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