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.
401 W 70TH ST
SHREVEPORT, LA71106-3034
Phone: 318-227-3350
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 1760904981
Legal business name
LBN
DAVID RAINES COMMUNITY HEALTH CENTER, INC.
Authorized official WILLIE WHITE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 07/10/2017
Last updated 07/10/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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