David Raines Community Health Center, Inc.

LBN: David Raines Community Health Center, Inc.
David Raines Community Health Center, Inc. is an health care organization with primary practice located at 4331 Henry St , Shreveport LA 71109-6820. 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) 635-2141, or through White, Willie C. via phone (318) 227-3350.

Contact Information

Primary practice address
4331 Henry St Shreveport LA 71109-6820
Phone: (318) 635-2141
Fax:
Website:
Map and Directions
Authorized official contact:
Name: White, Willie C.
Phone: (318) 227-3350

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1760042394
LBN Legal business name David Raines Community Health Center, Inc.
DBA Doing business as
Authorized official White, Willie C.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2019
Last updated Jun 17th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760042394 NPPES
Louisiana MEDICAID 1941638

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