Organization
INNIS COMMUNITY HEALTH CENTER, INC
Active
Other names
Pointe Coupee Central High School Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY PEAVY (EXECUTIVE DIRECTOR)
(225) 492-3775
Entity
Organization
Contact information
Practice address
8366 POINTE COUPEE RD, MORGANZA, LA 70759-3320
(225) 694-3737
Mailing address
6450 LOUISIANA HIGHWAY 1, BATCHELOR, LA 70715-0889
(225) 492-3775
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034185
—
LA
Enumeration date
10/22/2007
Last updated
04/08/2016
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