institution
David Raines Community Health Center, Inc.
Federally Qualified Health Center (FQHC) in Shreveport, Louisiana
NPI 1760906630

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 1760906630 and holds a License No. (Louisiana).

The current practice location address for David Raines Community Health Center, Inc. is 7340 Wyngate Blvd, Shreveport, LA and can be reached out via phone at 318-686-3161.

Location: 7340 Wyngate Blvd, Shreveport, LA, 71107-4705
institution
Provider Profile Details
NPI Number
1760906630
Provider Name
David Raines Community Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
7340 Wyngate Blvd, Shreveport, LA, 71107-4705
Phone Number
318-686-3161
Fax Number
Provider Enumeration Date
08/01/2017
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
7340 Wyngate Blvd
City
State
Zip
71106-3920
Phone Number
318-686-3161
Fax Number
person
Provider Business Mailing Address Details
Address
7340 Wyngate Blvd
City
State
Zip
71106-3920
Phone Number
318-686-3161
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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