David Raines Community Health Center in Shreveport - Federally Qualified Health Center (fqhc)
David Raines Community Health Center - NPI 1932369535
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 1932369535. The last update date is 2008-06-17.
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 3182273357. 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 | 3182273357 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | White C Willie |
| Telephone Number | 3184252252 |
NPI Number Detail
| NPI Number | 1932369535 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 1625 David Raines Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711075899 |
| Phone Number | 3184252252 |
| Fax Number | 3182273357 |
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) 1932369535. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David Raines Community Health Center is physically located?
The David Raines Community Health Center is situated at the following address: 1625 David Raines Rd, Shreveport, LA 711075899.
What is the area of specialization for David Raines Community Health Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David Raines Community Health Center is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932369535 to David Raines Community Health Center?
The Centers for Medicare & Medicaid Services originally issued the 1932369535 to David Raines Community Health Center on 2008-06-17.
As of what date were the details related to David Raines Community Health Center most recently updated or revised?
The information pertaining to David Raines Community Health Center, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-17.