Organization · Type 2 NPI

David Raines Community Health Center, Inc

Federally Qualified Health Center (FQHC) · Shreveport, LA

NPI number 1346977055 Active

Practice location

3222 Greenwood Rd
Shreveport, LA 71109-5235

Call (318) 364-5170 Map

Fax (318) 364-5176

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

Third Future Schools - LouisianaLocal Education Agency (LEA) Shreveport, LA NPI 1013862309

Other federally qualified health center (fqhc) providers in Shreveport

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NPI record

NPI: 1346977055
Entity type: Organization (Type 2)
Issued: Aug 3, 2022
Last updated: Aug 3, 2022
Status: Active

Other names

David Raines Community Health Center, Inc. · doing business as
David Raines School Based Health Center-Fair Park Middle · doing business as

Authorized official

Mr. Willie C White
Chief Executive Officer
(318) 227-3342

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About NPI 1346977055

David Raines Community Health Center, Inc's National Provider Identifier is 1346977055, issued on Aug 3, 2022. 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 3, 2022.