Organization · Type 2 NPI

David Raines Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Shreveport, LA

NPI number 1760904981 Active

Practice location

401 W 70th St
Shreveport, LA 71106-3034

Mailing address

3041 Martin Luther King Drive
Shreveport, LA 71107-4705

Specialties and licenses

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

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

3 other providers at this address

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About NPI 1760904981

David Raines Community Health Center, Inc.'s National Provider Identifier is 1760904981, issued on Jul 10, 2017. 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 Jul 10, 2017.