Organization · Type 2 NPI
David Raines Community Health Center, Inc
Federally Qualified Health Center (FQHC) · Keithville, LA
NPI number
1922734870
Active
Practice location
12201 Mansfield Rd
Keithville, LA 71047-8534
Fax (318) 364-5186
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...
2 other providers at this address
About NPI 1922734870
David Raines Community Health Center, Inc's National Provider Identifier is 1922734870, issued on Jul 25, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Keithville, LA. The record was last updated on Jul 25, 2022.