institution
David Raines Community Health Center, Inc
Federally Qualified Health Center (FQHC) in Gilliam, Louisiana
NPI 1598761496

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 Gilliam, LA. The NPI Number for David Raines Community Health Center, Inc is 1598761496 and holds a License No. (Louisiana).

The current practice location address for David Raines Community Health Center, Inc is 12763 Lay Street, Gilliam, LA and can be reached out via phone at 318-296-4287 and via fax at 318-296-4337.

Location: 12763 Lay Street, Gilliam, LA, 71107-4705
institution
Provider Profile Details
NPI Number
1598761496
Provider Name
David Raines Community Health Center, Inc
Credential
Provider Entity Type
Organization
Address
12763 Lay Street, Gilliam, LA, 71107-4705
Phone Number
318-296-4287
Fax Number
318-296-4337
Provider Enumeration Date
06/24/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1946541 05 LA
institution
Provider Business Practice Location Address Details
Address
12763 Lay Street
City
State
Zip
71029
Phone Number
318-296-4287
Fax Number
318-296-4337
person
Provider Business Mailing Address Details
Address
12763 Lay Street
City
State
Zip
71029
Phone Number
318-296-4287
Fax Number
318-296-4337
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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