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Contact Information

DAVID RAINES COMMUNITY HEALTH CENTER, INC
12201 MANSFIELD RD
KEITHVILLE, LA71047-8534
 Phone: 318-364-5180
 Fax: 318-364-5186
 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 1922734870
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 07/25/2022
Last updated 07/25/2022 - About 4 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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