Organization · Type 2 NPI
David Raines Community Health Center, Inc.
Federally Qualified Health Center (FQHC) · Shreveport, LA
NPI number
1760906630
Active
Practice location
7340 Wyngate Blvd
Shreveport, LA 71106-3920
Mailing address
3041 Martin Luther King Drive
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...
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About NPI 1760906630
David Raines Community Health Center, Inc.'s National Provider Identifier is 1760906630, issued on Aug 1, 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 Sep 25, 2023.