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 1104249473. The provider is registered as an organization entity type.
The provider's business location address is:
3021 W 70TH ST
SHREVEPORT, LA
ZIP 71108-603
Phone: (318) 227-3350
The provider's authorized official is Willie 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 19D0934734 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/22/2014 and was last updated on 1/22/2014.