INNIS COMMUNITY HEALTH CENTER, INC (NPI# 1003910167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003910167 |
| Entity Type | Organization |
| Organization Name | INNIS COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | LIVONIA COMMUNITY HEALTH CENTER |
| Practice Address |
8387 Newfield Dr Livonia LA 70755-3605 |
| Mailing Address |
6450 Louisiana Highway 1 Batchelor LA 70715 |
| Practice Telephone | 2254120202 |
| Practice Fax Number | 2254120366 |
| Mailing Telephone | 2254923775 |
| Mailing Fax Number | 2254923782 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | CINDY PEAVY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2254923775 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1450618 | 05 |
| Other Name | Type Code |
|---|---|
| Livonia Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689138018 | Innis Community Health Center, Inc | Clinic/Center | 8434 Pointe Coupee Road, New Roads, LA 70760 | 2019-01-30 |
| 1013496561 | Innis Community Health Center, Inc | Clinic/Center | 630 North Vaughn Drive, Brusly, LA 70719 | 2018-08-07 |
| 1053841072 | Innis Community Health Center, Inc | Clinic/Center | 230 Roberts Dr Ste H, New Roads, LA 70760-2661 | 2017-06-13 |
| 1992170385 | Innis Community Health Center, Inc | Clinic/Center | 1100 New Roads St, New Roads, LA 70760-2300 | 2015-12-10 |
| 1184099574 | Innis Community Health Center, Inc | Clinic/Center | 3118 La Highway 78, Livonia, LA 70755 | 2015-12-10 |
| 1417322892 | Innis Community Health Center, Inc | Clinic/Center | 4739 La Highway 419, Batchelor, LA 70715-3472 | 2015-12-10 |
| 1780059162 | Innis Community Health Center, Inc | Clinic/Center | 13258 La Highway 416, Rougon, LA 70773 | 2015-12-10 |
| 1538538863 | Innis Community Health Center, Inc | Clinic/Center | 77575 Landry Drive, Maringouin, LA 70757-3028 | 2015-09-16 |
| 1578986006 | Innis Community Health Center, Inc | Clinic/Center | 8737 Newfield Drive, Livonia, LA 70755 | 2014-02-04 |
| 1821287202 | Innis Community Health Center, Inc | Clinic/Center | 8366 Pointe Coupee Rd, Morganza, LA 70759-3320 | 2007-10-22 |
| Street Address |
8387 NEWFIELD DR |
| City | LIVONIA |
| State | LA |
| Zip Code | 70755-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093294530 | Alicia Kleinpeter | Social Worker | 8387 Newfield Dr, Livonia, LA 70755-3605 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028326 | J Walker Enterprises | Pharmacy | 3066 Hwy 78, Livonia, LA 70755 | 2020-03-17 |
| 1184099574 | Innis Community Health Center, Inc | Clinic/Center | 3118 La Highway 78, Livonia, LA 70755 | 2015-12-10 |
| 1578986006 | Innis Community Health Center, Inc | Clinic/Center | 8737 Newfield Drive, Livonia, LA 70755 | 2014-02-04 |
| 1043723547 | Jada Woods | Social Worker | 8737 Newfield Drive, Livonia, LA 70755 | 2017-11-07 |
| 1932142791 | Margaret P Scroggs | Nurse Practitioner | 3041 Fordoche Rd, Livonia, LA 70755-3303 | 2006-06-13 |
| 1497740245 | Pointe Coupee Thrif T Way Phy | Pharmacy | 3066 La Highway 78, Livonia, LA 70755-3601 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295681 | Kirsten Skidmore | Specialist | 5924 Cleary Rd, Livonia, NY 14487-9726 | 2020-11-06 |
| 1215538855 | No Limits Physical Therapy | Physical Therapist | 36223 Ladywood St, Livonia, MI 48154-2027 | 2020-11-02 |
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1598363970 | Steven M Moss Dds PC | Clinic/Center | 37625 Ann Arbor Rd Ste 108, Livonia, MI 48150-2400 | 2020-10-16 |
| 1205434669 | Great-lakes Restorative Counseling, LLC | Counselor | 11800 Merriman Rd Unit 510896, Livonia, MI 48151-2075 | 2020-10-16 |
| 1356949390 | Livonia Public Schools School District | Social Worker | 8900 Newburgh Rd, Livonia, MI 48150-3425 | 2020-10-13 |
| 1265030555 | Lauren Alexa Remijan | Technician | 18250 Queensbury Dr, Livonia, MI 48152-3946 | 2020-10-09 |
| 1801493747 | Eric D Mozurkewich | Registered Nurse | 14130 S Livonia Cres, Livonia, MI 48154-4332 | 2020-10-05 |
| 1356958649 | Serenity Hospice Care LLC | Hospice Care, Community Based | 33620 Five Mile Rd, Livonia, MI 48154-2866 | 2020-09-30 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| Find all providers in LIVONIA | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184099574 | Innis Community Health Center, Inc | Clinic/Center | 3118 La Highway 78, Livonia, LA 70755 | 2015-12-10 |
| 1578986006 | Innis Community Health Center, Inc | Clinic/Center | 8737 Newfield Drive, Livonia, LA 70755 | 2014-02-04 |
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| 1013522879 | Marillac Community Health Centers | Clinic/Center | 1423 Saint Philip St, New Orleans, LA 70116-2933 | 2020-09-09 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.