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

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Student Health Clinic/Center 261QS1000XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

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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.