institution
David Raines Community Health Center, Inc
Federally Qualified Health Center (FQHC) in Haynesville, Louisiana
NPI 1912903964

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 Haynesville, LA. The NPI Number for David Raines Community Health Center, Inc is 1912903964 and holds a License No. (Louisiana).

The current practice location address for David Raines Community Health Center, Inc is 1953 Main St, Haynesville, LA and can be reached out via phone at 318-624-1995 and via fax at 318-625-1985. You can also correspond with David Raines Community Health Center, Inc through the mailing address at 3041 DR MARTIN LUTHER KING DR, SHREVEPORT, LA - 71107-4705 (mailing address contact number: 318-227-3350).

Location: 1953 Main St, Haynesville, LA, 71107-4705
institution
Provider Profile Details
NPI Number
1912903964
Provider Name
David Raines Community Health Center, Inc
Credential
Provider Entity Type
Organization
Address
1953 Main St, Haynesville, LA, 71107-4705
Phone Number
318-624-1995
Fax Number
318-625-1985
Provider Enumeration Date
06/23/2005
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
1953 Main St
City
State
Zip
71038-4907
Phone Number
318-624-1995
Fax Number
318-625-1985
person
Provider Business Mailing Address Details
Address
1953 Main St
City
State
Zip
71038-4907
Phone Number
318-624-1995
Fax Number
318-625-1985
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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