David Raines Community Health Center, Inc in Shreveport - Federally Qualified Health Center (fqhc)
David Raines Community Health Center, Inc - NPI 1598761496
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 1598761496. The last update date is 2011-02-24.
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 | 1598761496 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2011-02-24 |
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 |
|---|---|---|---|
| 1946541 | 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) 1598761496. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
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 specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Raines Community Health Center, Inc's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the David Raines Community Health Center, Inc receive its 1598761496 assignment from the Centers for Medicare & Medicaid Services?
The David Raines Community Health Center, Inc was assigned its 1598761496 by the Centers for Medicare & Medicaid Services on 2005-06-24.
When was the David Raines Community Health Center, Inc's information last updated?
The David Raines Community Health Center, Inc's information was last updated on 2011-02-24.