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 1514 Doctors Dr , Bossier City LA 71111-3379. 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) 425-2252, or through White, Willie C via phone (318) 425-2252.

Contact Information

Primary practice address
1514 Doctors Dr Bossier City LA 71111-3379
Phone: (318) 425-2252
Fax: (318) 227-8510
Website:
Map and Directions
Authorized official contact:
Name: White, Willie C
Phone: (318) 425-2252

Health care specialties

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

Profile Details

NPI number 1891964789
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 Feb 25th, 2008
Last updated Feb 13th, 2024 - about 9 months 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 1891964789 NPPES
Louisiana MEDICAID 1706019
Louisiana Other 5D174

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