| Innis Community Health Center, Inc | |
|
3118 La Highway 78 Livonia LA 70755 | |
| (225) 637-2532 | |
| Not Available |
| Full Name | Innis Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3118 La Highway 78, Livonia, Louisiana |
| Authorized Official Name and Position | Cindy Peavy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2254923775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innis Community Health Center, Inc 6450 Louisiana Highway 1 Batchelor LA 70715 Ph: () - | Innis Community Health Center, Inc 3118 La Highway 78 Livonia LA 70755 Ph: (225) 637-2532 |
| NPI Number | 1184099574 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184099574 | NPI | - | NPPES |
| 2409816 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Innis Community Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8387 Newfield Dr, Livonia, LA 70755 Phone: 225-412-0202 Fax: 225-412-0366 | |
Innis Community Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8737 Newfield Drive, Livonia, LA 70755 Phone: 225-637-2323 Fax: 225-637-2327 |