Healthcare Provider Details

I. General information

NPI: 1821287202
Provider Name (Legal Business Name): INNIS COMMUNITY HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8430 POINTE COUPEE RD
NEW ROADS LA
70760-4317
US

IV. Provider business mailing address

6450 LA HIGHWAY 1
BATCHELOR LA
70715-3212
US

V. Phone/Fax

Practice location:
  • Phone: 225-638-3767
  • Fax: 225-638-4058
Mailing address:
  • Phone: 225-618-5015
  • Fax: 225-442-3107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: CINDY GRIFFIN PEAVY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 225-618-7161