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CH061068A INNIS COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
INNIS COMMUNITY HEALTH CENTER
Subdivision Name
LIVONIA COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000824
340B ID
CH061068A
Grant Number
H80CS00855
Additional Details
Current Program Status
Active
Registration Date
8/9/2007
Participating Start Date
10/1/2007
Participating Approval Date
8/13/2007
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
3041 FORDOCHE ROAD
LIVONIA, LA 70755-0250
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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May 2025
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