National Provider Identifier Database

DAVID RAINES COMMUNITY HEALTH CENTER INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

DAVID RAINES COMMUNITY HEALTH CENTER, INC.
4331 HENRY ST
SHREVEPORT, LA71109-6820
Phone: 318-635-2141
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

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

NPI Number 1760042394
Legal business name
LBN
DAVID RAINES COMMUNITY HEALTH CENTER, INC.
Authorized official WILLIE WHITE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 06/17/2019
Last updated 06/17/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1941638

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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