DAVID RAINES COMMUNITY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Shreveport, LA. DAVID RAINES COMMUNITY HEALTH CENTER INC NPI is 1144705930. The provider is registered as an organization entity type.
The provider's business location address is:
1625 DAVID RAINES RD
SHREVEPORT, LA
ZIP 71107-899
Phone: (318) 425-2252
Fax: (318) 425-2367
The provider's authorized official is Willie C White .
The authorized official title is Chief Executive Officer and has the following contact phone number (318) 227-3350.
The CLIA number assigned to this NPI record is 19D1082662 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/27/2018 and was last updated on 9/27/2018.