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 1982379335. The provider is registered as an organization entity type.
The provider's business location address is:
9360 WOOLWORTH RD
SHREVEPORT, LA
ZIP 71129-362
Phone: (318) 227-3350
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) 227-3342.
The CLIA number assigned to this NPI record is 19D1027192 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/9/2021 and was last updated on 8/9/2021.