DAVID RAINES COMMUNITY HEALTH CENTER, INC; NPI #1205721487

Contact Information

DAVID RAINES COMMUNITY HEALTH CENTER, INC

1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899

Phone: 318-425-2252
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for DAVID RAINES COMMUNITY HEALTH CENTER, INC

NPI Number	`1205721487`
LBN Legal business name	DAVID RAINES COMMUNITY HEALTH CENTER, INC
Authorized official	WILLIE WHITE - (CHIEF EXECUTIVE OFFICE)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	06/10/2025
Last updated	06/10/2025 - About 12 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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