DAVID RAINES COMMUNITY HEALTH CENTER, INC; NPI #1598761496

Contact Information

DAVID RAINES COMMUNITY HEALTH CENTER, INC

12763 LAY STREET
GILLIAM, LA 71029

Phone: 318-296-4287
Fax: 318-296-4337
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 1598761496

LBN Legal business name DAVID RAINES COMMUNITY HEALTH CENTER, INC

Authorized official WILLIE WHITE - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/24/2005

Last updated 02/13/2024 - About 2 years ago

Identifiers

Medicaid

1946541

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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