institution
David Raines Community Health Center Inc
Federally Qualified Health Center (FQHC) in Minden, Louisiana
NPI 1265438998

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 Minden, LA. The NPI Number for David Raines Community Health Center Inc is 1265438998 and holds a License No. (Louisiana).

The current practice location address for David Raines Community Health Center Inc is 128 Homer Rd, Minden, LA and can be reached out via phone at 318-377-1545 and via fax at 318-377-1504.

Location: 128 Homer Rd, Minden, LA, 71107-4705
institution
Provider Profile Details
NPI Number
1265438998
Provider Name
David Raines Community Health Center Inc
Credential
Provider Entity Type
Organization
Address
128 Homer Rd, Minden, LA, 71107-4705
Phone Number
318-377-1545
Fax Number
318-377-1504
Provider Enumeration Date
06/27/2005
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
128 Homer Rd
City
State
Zip
71055-2732
Phone Number
318-377-1545
Fax Number
318-377-1504
person
Provider Business Mailing Address Details
Address
128 Homer Rd
City
State
Zip
71055-2732
Phone Number
318-377-1545
Fax Number
318-377-1504
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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