Organization · Type 2 NPI
David Raines Community Health Center, Inc.
Federally Qualified Health Center (FQHC) · Shreveport, LA
NPI number
1942083191
Active
Practice location
5904 W 70th St
Shreveport, LA 71129-2632
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...
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About NPI 1942083191
David Raines Community Health Center, Inc.'s National Provider Identifier is 1942083191, issued on Aug 14, 2023. 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 14, 2023.