David Raines Community Health Center, Inc.
NPI #1104249473 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1104249473
- Entity Type
- Organization
- Organization Name
- David Raines Community Health Center, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 22, 2014
- Last Updated
- Jan 22, 2014
Practice Location
- Address
- 3021 W 70TH ST
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71108-4603
- Phone
- (318) 227-3350
Authorized Official
- Name
- MR. WILLIE WHITE III
- Title
- CEO
- Phone
- (318) 227-3350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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