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 1760042394. The provider is registered as an organization entity type.
The provider's business location address is:
4331 HENRY ST
SHREVEPORT, LA
ZIP 71109-820
Phone: (318) 635-2141
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 19D2289669 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/17/2019 and was last updated on 6/17/2019.