institution
David Raines Community Health Center, Inc.
Federally Qualified Health Center (FQHC) in Shreveport, Louisiana
NPI 1942083191

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 1942083191 and holds a License No. (Louisiana).

The current practice location address for David Raines Community Health Center, Inc. is 5904 W 70Th St, Shreveport, LA and can be reached out via phone at 318-364-1750.

Location: 5904 W 70Th St, Shreveport, LA, 71107-4705
institution
Provider Profile Details
NPI Number
1942083191
Provider Name
David Raines Community Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
5904 W 70Th St, Shreveport, LA, 71107-4705
Phone Number
318-364-1750
Fax Number
Provider Enumeration Date
08/14/2023
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
5904 W 70Th St
City
State
Zip
71129-2632
Phone Number
318-364-1750
Fax Number
person
Provider Business Mailing Address Details
Address
5904 W 70Th St
City
State
Zip
71129-2632
Phone Number
318-364-1750
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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