Organization · Type 2 NPI
Innis Community Health Center, Inc
Federally Qualified Health Center (FQHC) · Livonia, LA
NPI number
1003910167
Active
Practice location
8387 Newfield Dr Ste B
Livonia, LA 70755-3605
Fax (225) 412-0366
Mailing address
112 Telly St
New Roads, LA 70760-2521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
4 other providers at this address
Other federally qualified health center (fqhc) providers in Livonia
About NPI 1003910167
Innis Community Health Center, Inc's National Provider Identifier is 1003910167, issued on Sep 11, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Livonia, LA. The record was last updated on Sep 28, 2026.