Organization · Type 2 NPI
Innis Community Health Center, Inc
Federally Qualified Health Center (FQHC) · Brusly, LA
NPI number
1013496561
Active
Practice location
630 N Vaughan Dr
Brusly, LA 70719-2217
Fax (225) 343-0626
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 |
| Student Health Clinic/Center | 261QS1000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
3 other providers at this address
Other federally qualified health center (fqhc) providers in Brusly
About NPI 1013496561
Innis Community Health Center, Inc's National Provider Identifier is 1013496561, issued on Aug 7, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Brusly, LA. The record was last updated on Sep 28, 2026.