Organization · Type 2 NPI
David Raines Community Health Center, Inc.
Federally Qualified Health Center (FQHC) · Shreveport, LA
NPI number
1104249473
Active
Practice location
3021 W 70th St
Shreveport, LA 71108-4603
Mailing address
3041 Dr Martin Luther King Dr
Shreveport, LA 71107-4705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
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About NPI 1104249473
David Raines Community Health Center, Inc.'s National Provider Identifier is 1104249473, issued on Jan 22, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Shreveport, LA. The record was last updated on Jan 22, 2014.