Organization · Type 2 NPI

David Raines Community Health Center, Inc

Federally Qualified Health Center (FQHC) · Shreveport, LA

NPI number 1265216451 Active

Practice location

1625 David Raines Rd
Shreveport, LA 71107-5899

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 1265216451

David Raines Community Health Center, Inc's National Provider Identifier is 1265216451, issued on Aug 21, 2023. 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 Aug 21, 2023.