Organization · Type 2 NPI
David Raines Community Health Center, Inc.
Federally Qualified Health Center (FQHC) · Shreveport, LA
NPI number
1982379335
Active
Practice location
9360 Woolworth Rd
Shreveport, LA 71129-9362
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 1982379335
David Raines Community Health Center, Inc.'s National Provider Identifier is 1982379335, issued on Aug 9, 2021. 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 9, 2021.