Innis Community Health Center, INC
NPI #1164897542 in Maringouin, Louisiana
Provider Information
- NPI Number
- 1164897542
- Entity Type
- Organization
- Organization Name
- Innis Community Health Center, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 10, 2015
- Last Updated
- Nov 18, 2021
Practice Location
- Address
- 1653 VALVERDA RD
- City
- Maringouin
- State
- Louisiana
- ZIP Code
- 70757-5118
- Phone
- (225) 492-3775
Authorized Official
- Name
- CINDY PEAVY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (225) 492-3775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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