| Innis Community Health Center, Inc | |
|
230 Roberts Dr Ste H New Roads LA 70760-2661 | |
| (225) 618-7800 | |
| (225) 238-8330 |
| Full Name | Innis Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 230 Roberts Dr Ste H, New Roads, Louisiana |
| Authorized Official Name and Position | Cindy Griffin Peavy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2256187161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innis Community Health Center, Inc 6450 La Highway 1 Batchelor LA 70715-3212 Ph: (225) 618-5015 | Innis Community Health Center, Inc 230 Roberts Dr Ste H New Roads LA 70760-2661 Ph: (225) 618-7800 |
| NPI Number | 1053841072 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 07/06/2026 |
| Medicare PECOS PAC ID | 9931130358 |
|---|---|
| Medicare Enrollment ID | O20170914000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053841072 | NPI | - | NPPES |
| 2449826 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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