institution
David Raines Community Health Center, Inc
Federally Qualified Health Center (FQHC) in Shreveport, Louisiana
NPI 1215933254

David Raines Community Health Center, Inc is a Federally Qualified Health Center (FQHC) based in Shreveport, LA and is specialized in Federally Qualified Health Center (FQHC). David Raines Community Health Center, Inc practices in Shreveport, LA. The NPI Number for David Raines Community Health Center, Inc is 1215933254 and holds a License No. (Louisiana).

The current practice location address for David Raines Community Health Center, Inc is 1625 David Raines Rd, Shreveport, LA and can be reached out via phone at 318-425-2252 and via fax at 318-716-3265.

Location: 1625 David Raines Rd, Shreveport, LA, 71107-4705
institution
Provider Profile Details
NPI Number
1215933254
Provider Name
David Raines Community Health Center, Inc
Credential
Provider Entity Type
Organization
Address
1625 David Raines Rd, Shreveport, LA, 71107-4705
Phone Number
318-425-2252
Fax Number
318-716-3265
Provider Enumeration Date
06/23/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1941638 05 LA
institution
Provider Business Practice Location Address Details
Address
1625 David Raines Rd
City
State
Zip
71107-5899
Phone Number
318-425-2252
Fax Number
318-716-3265
person
Provider Business Mailing Address Details
Address
1625 David Raines Rd
City
State
Zip
71107-5899
Phone Number
318-425-2252
Fax Number
318-716-3265
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(Louisiana)
Definition
Definition to come...
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