David Raines School Based Health Center-Js Clark
LBN: David Raines Community Health Center, Inc.
David Raines School Based Health Center-Js Clark is an health care organization with primary practice located at 351 Hearne Ave , Shreveport LA 71103-2019. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
David Raines Community Health Center, Inc. can be contacted via phone (318) 425-8742, or through White, Willie C. via phone (318) 227-3350.
Contact Information
Primary practice address
351 Hearne Ave
Shreveport LA 71103-2019
Phone: (318) 425-8742
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1437673464 |
|---|---|
| LBN Legal business name | David Raines Community Health Center, Inc. |
| DBA Doing business as | David Raines School Based Health Center-Js Clark |
| Authorized official | White, Willie C. CEO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 1st, 2017 |
| Last updated | Aug 1st, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437673464 | NPPES |
| Louisiana | MEDICAID | 1941638 |
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