David Raines Community Health Center, Inc in Shreveport - Federally Qualified Health Center (fqhc)
David Raines Community Health Center, Inc - NPI 1215933254
David Raines Community Health Center, Inc is a Federally Qualified Health Center (fqhc) in Shreveport, Louisiana. David Raines Community Health Center, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for David Raines Community Health Center, Inc is 1215933254. The last update date is 2015-03-05.
David Raines Community Health Center, Inc's current location address is 3041 Dr Martin Luther King Dr, Shreveport, Louisiana. You can contact this provider via phone number 3182273350 and fax number 3182222979. The mailing address for David Raines Community Health Center, Inc is 3041 Dr Martin Luther King Dr, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David Raines Community Health Center, Inc |
|---|---|
| Address | 3041 Dr Martin Luther King Dr, Shreveport, Louisiana |
| Phone Number | 3182273350 |
| Fax Number | 3182222979 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | White C Willie |
| Telephone Number | 3182273350 |
NPI Number Detail
| NPI Number | 1215933254 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2015-03-05 |
Provider Mailing Address Detail
| Address | 3041 Dr Martin Luther King Dr |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711074705 |
| Phone Number | 3182273350 |
| Fax Number | 3182222979 |
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 |
|---|---|---|---|
| 1941638 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David Raines Community Health Center, Inc by the Centers for Medicare & Medicaid Services?
The David Raines Community Health Center, Inc has been assigned the NPI (National Provider Identifier) 1215933254. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David Raines Community Health Center, Inc is physically located?
The David Raines Community Health Center, Inc is situated at the following address: 3041 Dr Martin Luther King Dr, Shreveport, LA 711074705.
Could you please share the complete physical location address where David Raines Community Health Center, Inc's facilities are situated?
The facilities of David Raines Community Health Center, Inc are physically located at the following address: 3041 Dr Martin Luther King Dr, Shreveport, LA, 711074705.
What is David Raines Community Health Center, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for David Raines Community Health Center, Inc is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
On what date did the David Raines Community Health Center, Inc receive the assignment of its 1215933254 from the Centers for Medicare & Medicaid Services?
The David Raines Community Health Center, Inc was issued its 1215933254 by the Centers for Medicare & Medicaid Services on 2005-06-23.
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