David Raines Community Health Centers, Inc in Shreveport - Federally Qualified Health Center (fqhc)
David Raines Community Health Centers, Inc - NPI 1841469731
David Raines Community Health Centers, Inc is a Federally Qualified Health Center (fqhc) in Shreveport, Louisiana. David Raines Community Health Centers, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for David Raines Community Health Centers, Inc is 1841469731. The last update date is 2008-02-25.
David Raines Community Health Centers, Inc's current location address is 1625 David Raines Rd, Shreveport, Louisiana. You can contact this provider via phone number 3184252252 and fax number 3182278510. The mailing address for David Raines Community Health Centers, Inc is 1625 David Raines Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David Raines Community Health Centers, Inc |
|---|---|
| Address | 1625 David Raines Rd, Shreveport, Louisiana |
| Phone Number | 3184252252 |
| Fax Number | 3182278510 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | White C Willie |
| Telephone Number | 3184252252 |
NPI Number Detail
| NPI Number | 1841469731 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
| Address | 1625 David Raines Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 71107 |
| Phone Number | 3184252252 |
| Fax Number | 3182278510 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5D174 | LA | MEDICARE PTAN NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to David Raines Community Health Centers, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The David Raines Community Health Centers, Inc has been assigned the NPI (National Provider Identifier) 1841469731. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the David Raines Community Health Centers, Inc located?
The David Raines Community Health Centers, Inc is located at 1625 David Raines Rd, Shreveport, LA 71107.
What is David Raines Community Health Centers, Inc's area of expertise and its corresponding taxonomy classification?
The David Raines Community Health Centers, Inc's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1841469731 to David Raines Community Health Centers, Inc?
The Centers for Medicare & Medicaid Services assigned the 1841469731 to David Raines Community Health Centers, Inc on 2008-02-25.
When was the information pertaining to David Raines Community Health Centers, Inc most recently updated or revised?
The details related to David Raines Community Health Centers, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-25.
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