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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.

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Contact Information

DAVID RAINES COMMUNITY HEALTH CENTER, INC.
4331 HENRY ST
SHREVEPORT, LA  71109-6820
 Phone: 318-635-2141
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

 261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

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

NPI Number 1760042394
LBN Legal business name DAVID RAINES COMMUNITY HEALTH CENTER, INC.
Authorized official WILLIE WHITE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2019
Last updated 06/17/2019 - About 7 years ago
Identifiers
LA Medicaid 1941638
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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