Innis Community Health Center, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Rosedale, LA. Organization (NPI-2).
NPI number1962285262
StatusActive
Last updated in NPPESOct 7, 2026
Details
- NPI
- 1962285262
- Entity type
- Organization (NPI-2)
- Legal business name
- Innis Community Health Center, INC
- Organization subpart
- Yes
- Enumeration date
- Aug 18, 2023
- Certification date
- Oct 1, 2026
- Last updated
- Oct 7, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Arbor Family Health (Other Name)
- North Iberville School Based Health Center (Doing Business As)
Practice location
13770 Highway 77Rosedale, LA 70772
Phone 225-385-2668 · Fax 225-442-3107
Mailing address
112 Telly StNew Roads, LA 70760-2521
Phone 225-618-5015 · Fax 225-442-3107
Authorized official
Cindy Griffin Peavy
Executive Director
2256187161
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