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 1215933254. 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) 716-3265
The provider's authorized official is Willie C White .
The authorized official title is Ceo and has the following contact phone number (318) 227-3350.
The CLIA number assigned to this NPI record is 19D0899254 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/23/2005 and was last updated on 2/13/2024.