Organization · Type 2 NPI

David Raines Community Health Center Inc

Federally Qualified Health Center (FQHC) · Shreveport, LA

NPI number 1144705930 Active

Practice location

1625 David Raines Rd
Shreveport, LA 71107-5899

Call (318) 425-2252 Map

Fax (318) 425-2367

Mailing address

3041 Dr Martin Luther King Dr
Shreveport, LA 71107-4705

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1144705930

David Raines Community Health Center Inc's National Provider Identifier is 1144705930, issued on Sep 27, 2018. 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 Sep 27, 2018.