Organization · Type 2 NPI

Innis Community Health Center, Inc

Federally Qualified Health Center (FQHC) · Rosedale, LA

NPI number 1962285262 Active

Practice location

13770 Highway 77
Rosedale, LA 70772

Call (225) 385-2668 Map

Fax (225) 442-3107

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...

NPI record

NPI: 1962285262
Entity type: Organization (Type 2)
Issued: Aug 18, 2023
Last updated: Oct 7, 2026
Status: Active
Subpart: Yes of Innis Community Health Center, Inc

Other names

<unavail>
North Iberville School Based Health Center · doing business as
North Iberville School Based Health Center · doing business as
Arbor Family Health · other name

Authorized official

Cindy Griffin Peavy
Executive Director
(225) 618-7161

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962285262

Innis Community Health Center, Inc's National Provider Identifier is 1962285262, issued on Aug 18, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Rosedale, LA. The record was last updated on Oct 7, 2026.