Organization · Type 2 NPI

David Raines Community Health Center, Inc

Federally Qualified Health Center (FQHC) · Shreveport, LA

NPI number 1144079872 Active

Practice location

441 Atlantic Ave
Shreveport, LA 71105-2911

Call (318) 723-7242 Map

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

Stacy Claiborne Day, M.C.D. CCC-SLPSpeech-Language Pathologist Shreveport, LA NPI 1255003414

Other federally qualified health center (fqhc) providers in Shreveport

See all in Shreveport →

NPI record

NPI: 1144079872
Entity type: Organization (Type 2)
Issued: May 15, 2024
Last updated: May 15, 2024
Status: Active

Other names

David Raines School Based Health Center-Broadmoor Stem Academy · doing business as

Authorized official

Mr. Willie C White
Chief Executive Officer
(318) 723-7242

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1144079872

David Raines Community Health Center, Inc's National Provider Identifier is 1144079872, issued on May 15, 2024. 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 May 15, 2024.