David Raines Community Health Center INC
NPI #1144705930 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1144705930
- Entity Type
- Organization
- Organization Name
- David Raines Community Health Center INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DAVID RAINES COMMUNITY HEALTH CENTER INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 27, 2018
- Last Updated
- Sep 27, 2018
Practice Location
- Address
- 1625 DAVID RAINES RD
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71107-5899
- Phone
- (318) 425-2252
Authorized Official
- Name
- MR. WILLIE C WHITE III
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (318) 227-3350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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