David Raines Community Health Centers Pharmacy
LBN: David Raines Community Health Center Inc
David Raines Community Health Centers Pharmacy is an health care organization with primary practice located at 1625 David Raines Rd , Shreveport LA 71107-5899. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
David Raines Community Health Center Inc can be contacted via phone (318) 227-3355, or through White, Willie via phone (318) 227-3342.
Contact Information
Primary practice address
1625 David Raines Rd
Shreveport LA 71107-5899
Phone: (318) 227-3355
Fax: (318) 227-3356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY.005457-IR | Louisiana |
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X |
Profile Details
| NPI number | 1861415721 |
|---|---|
| LBN Legal business name | David Raines Community Health Center Inc |
| DBA Doing business as | David Raines Community Health Centers Pharmacy |
| Authorized official | White, Willie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Dec 22nd, 2016 - about 9 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 | 1861415721 | NPPES |
| Louisiana | MEDICAID | 1233358 | |
| Louisiana | Other | 2035347 |
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