National Provider Identifier Database

INNIS COMMUNITY HEALTH CENTER INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

INNIS COMMUNITY HEALTH CENTER, INC
630 N VAUGHAN DR
BRUSLY, LA70719-2217
Phone: 225-385-2668
Fax: 225-343-0626
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for INNIS COMMUNITY HEALTH CENTER, INC

NPI Number 1013496561
Legal business name
LBN
INNIS COMMUNITY HEALTH CENTER, INC
Authorized official CINDY PEAVY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 08/07/2018
Last updated 05/21/2026 - About 3 weeks ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 2480782

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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