Organization · Type 2 NPI
David Raines Community Health Center, Inc.
Federally Qualified Health Center (FQHC) · Shreveport, LA
NPI number
1760042394
Active
Practice location
4331 Henry St
Shreveport, LA 71109-6820
Mailing address
3041 Martin Luther King Jr. Drive
Shreveport, LA 71107-5899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1760042394
David Raines Community Health Center, Inc.'s National Provider Identifier is 1760042394, issued on Jun 17, 2019. 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 Jun 17, 2019.