institution
David Raines Community Health Center, Inc
Federally Qualified Health Center (FQHC) in Bossier City, Louisiana
NPI 1891964789

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 Bossier City, LA. The NPI Number for David Raines Community Health Center, Inc is 1891964789 and holds a License No. (Louisiana).

The current practice location address for David Raines Community Health Center, Inc is 1514 Doctors Dr, Bossier City, LA and can be reached out via phone at 318-425-2252 and via fax at 318-227-8510.

Location: 1514 Doctors Dr, Bossier City, LA, 71107-4705
institution
Provider Profile Details
NPI Number
1891964789
Provider Name
David Raines Community Health Center, Inc
Credential
Provider Entity Type
Organization
Address
1514 Doctors Dr, Bossier City, LA, 71107-4705
Phone Number
318-425-2252
Fax Number
318-227-8510
Provider Enumeration Date
02/25/2008
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1706019 05 LA
5D174 01 LA MEDICARE PTAN NUMBER
institution
Provider Business Practice Location Address Details
Address
1514 Doctors Dr
City
State
Zip
71111-3379
Phone Number
318-425-2252
Fax Number
318-227-8510
person
Provider Business Mailing Address Details
Address
1514 Doctors Dr
City
State
Zip
71111-3379
Phone Number
318-425-2252
Fax Number
318-227-8510
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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