David Raines Community Health Center, INC
NPI #1922734870 in Keithville, Louisiana
Provider Information
- NPI Number
- 1922734870
- Entity Type
- Organization
- Organization Name
- David Raines Community Health Center, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 25, 2022
- Last Updated
- Jul 25, 2022
Practice Location
- Address
- 12201 MANSFIELD RD
- City
- Keithville
- State
- Louisiana
- ZIP Code
- 71047-8534
- Phone
- (318) 364-5180
Authorized Official
- Name
- MR. WILLIE C WHITE III
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (318) 227-3342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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