340B Drug Pricing Program Database
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CH061068Q Innis Community Health Center, Inc. (Active)
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Main Details
Name
Innis Community Health Center, Inc.
Subdivision Name
Brusly School Based Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024487
340B ID
CH061068Q
Grant Number
H80CS00855
Additional Details
Current Program Status
Active
Registration Date
10/3/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/19/2018
Last Recertification Date
2/10/2025
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
630 North Vaughn Dr.
Brusly, LA 70719
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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