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CH0610680 INNIS COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
INNIS COMMUNITY HEALTH CENTER, INC.
Subdivision Name
INNIS COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000550
340B ID
CH0610680
Grant Number
H80CS00855
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
10/10/2003
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Innis Community Health Center, Inc.
cindy peavy, Executive Director
(225) 235-9627
Primary Contact
Innis Community Health Center, Inc.
Tracy Lyn Hooper, 340B Administrator
(225) 618-5015
Addresses
Street Address
6450 LA HIGHWAY 1 STE B
INNIS, LA 70747-0889
Billing Address
Innis Community Health Center, Inc.
6450 LA hwy 1
Batchelor, LA 70715
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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