David Raines Community Health Center Inc in Shreveport - Federally Qualified Health Center (fqhc)
David Raines Community Health Center Inc - NPI 1265438998
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 1265438998. The last update date is 2010-09-10.
David Raines Community Health Center Inc's current location address is 1625 David Raines Rd, Shreveport, Louisiana. You can contact this provider via phone number 3184252252 and fax number 3184252367. The mailing address for David Raines Community Health Center 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 Center Inc |
|---|---|
| Address | 1625 David Raines Rd, Shreveport, Louisiana |
| Phone Number | 3184252252 |
| Fax Number | 3184252367 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | White C Willie |
| Telephone Number | 3184252252 |
NPI Number Detail
| NPI Number | 1265438998 |
|---|---|
| Provider Enumeration Date | 2005-06-27 |
| Last Updated Date | 2010-09-10 |
Provider Mailing Address Detail
| Address | 1625 David Raines Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711075899 |
| Phone Number | 3184252252 |
| Fax Number | 3184252367 |
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 provider identifier assigned to David Raines Community Health Center Inc?
The David Raines Community Health Center Inc has been issued the NPI (National Provider Identifier) 1265438998 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of David Raines Community Health Center Inc?
The David Raines Community Health Center Inc 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 Inc's area of expertise and its corresponding taxonomy classification?
The David Raines Community Health Center 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 originally issue the 1265438998 to David Raines Community Health Center Inc?
The Centers for Medicare & Medicaid Services originally issued the 1265438998 to David Raines Community Health Center Inc on 2005-06-27.
As of what date was the information pertaining to David Raines Community Health Center Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Raines Community Health Center Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-09-10.
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