institution
David Raines Community Health Center, Inc
Federally Qualified Health Center (FQHC) in Shreveport, Louisiana
NPI 1346977055

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 1346977055 and holds a License No. (Louisiana).

The current practice location address for David Raines Community Health Center, Inc is 3222 Greenwood Rd, Shreveport, LA and can be reached out via phone at 318-364-5170 and via fax at 318-364-5176.

Location: 3222 Greenwood Rd, Shreveport, LA, 71107-4705
institution
Provider Profile Details
NPI Number
1346977055
Provider Name
David Raines Community Health Center, Inc
Credential
Provider Entity Type
Organization
Address
3222 Greenwood Rd, Shreveport, LA, 71107-4705
Phone Number
318-364-5170
Fax Number
318-364-5176
Provider Enumeration Date
08/03/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1941638 05 LA
institution
Provider Business Practice Location Address Details
Address
3222 Greenwood Rd
City
State
Zip
71109-5235
Phone Number
318-364-5170
Fax Number
318-364-5176
person
Provider Business Mailing Address Details
Address
3222 Greenwood Rd
City
State
Zip
71109-5235
Phone Number
318-364-5170
Fax Number
318-364-5176
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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