David Raines Community Health Center in Shreveport - Federally Qualified Health Center (fqhc)
David Raines Community Health Center - NPI 1376630632
David Raines Community Health Center is a Federally Qualified Health Center (fqhc) in Shreveport, Louisiana. David Raines Community Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for David Raines Community Health Center is 1376630632. The last update date is 2022-07-21.
David Raines Community Health Center'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 Center is 1625 David Raines Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David Raines Community Health Center |
|---|---|
| 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 | 1376630632 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1625 David Raines Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711075899 |
| Phone Number | 3184252252 |
| Fax Number | 3182278510 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique identification code assigned to David Raines Community Health Center by the Centers for Medicare & Medicaid Services?
The David Raines Community Health Center has been issued the NPI (National Provider Identifier) 1376630632. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of David Raines Community Health Center?
The David Raines Community Health Center is physically situated at 1625 David Raines Rd, in the city of Shreveport, state of LA, with the postal code 711075899.
What is David Raines Community Health Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David Raines Community Health Center is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
When did the David Raines Community Health Center receive its 1376630632?
The David Raines Community Health Center was issued its 1376630632 on 2006-10-06, which is the date when the organization was assigned this unique identifier.
When was the information regarding David Raines Community Health Center most recently updated?
The details pertaining to the David Raines Community Health Center, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.
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