David Raines Community Health Center, Inc in Haynesville - Federally Qualified Health Center (fqhc)
David Raines Community Health Center, Inc - NPI 1912903964
David Raines Community Health Center, Inc is a Federally Qualified Health Center (fqhc) in Haynesville, 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 1912903964. The last update date is 2011-02-15.
David Raines Community Health Center, Inc's current location address is 1953 Main St, Haynesville, Louisiana. You can contact this provider via phone number 3186241995 and fax number 3186251985. The mailing address for David Raines Community Health Center, Inc is 1953 Main St, Haynesville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David Raines Community Health Center, Inc |
|---|---|
| Address | 1953 Main St, Haynesville, Louisiana |
| Phone Number | 3186241995 |
| Fax Number | 3186251985 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | White C Willie |
| Telephone Number | 3184252252 |
NPI Number Detail
| NPI Number | 1912903964 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2011-02-15 |
Provider Mailing Address Detail
| Address | 1953 Main St |
|---|---|
| City | Haynesville |
| State | Louisiana (LA) |
| Post Code | 7103849070 |
| Phone Number | 3186241995 |
| Fax Number | 3186251985 |
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 10-digit identifier code assigned to David Raines Community Health Center, Inc by the Centers for Medicare & Medicaid Services?
The David Raines Community Health Center, Inc has been issued the NPI (National Provider Identifier) 1912903964 by the CMS (Centers for Medicare & Medicaid Services), which serves as 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 1953 Main St, in the city of Haynesville, state of LA, with the postal code 7103849070.
What is the David Raines Community Health Center, Inc's specialty and taxonomy code?
The David Raines Community Health Center, Inc's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912903964 to David Raines Community Health Center, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1912903964 to David Raines Community Health Center, Inc on 2005-06-23.
As of what date were the details related to David Raines Community Health Center, Inc most recently updated or revised?
The information pertaining to David Raines Community Health Center, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2011-02-15.