Organization
INNIS COMMUNITY HEALTH CENTER, INC
Active
Other names
North Iberville School Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAYCE PICARD (CREDENTIALING/BILLING SUPERVISOR)
(225) 492-3775
Entity
Organization
Contact information
Practice address
13770 HIGHWAY 77, ROSEDALE, LA 70772
(225) 618-5959
Mailing address
6450 LA HIGHWAY 1, BATCHELOR, LA 70715-3212
(225) 492-3775
(225) 492-3782
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
03/08/2024
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