NPI 1215933254 DAVID RAINES COMMUNITY HEALTH CENTER, INC SHREVEPORT LA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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David Raines Community Health Center, Inc - NPI: 1215933254

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: DAVID RAINES COMMUNITY HEALTH CENTER, INC
NPI Number: 1215933254
Entity Type Code: Organizational (2)
Authorized Official Name: WILLIE C WHITE
(CEO)
Mailing Address: 3041 Dr Martin Luther King Dr
Shreveport
State: LA US
Postal Code: 711074705
Phone Number: 3182273350
Fax Number: 3182222979
NPI Enumeration Date: 06/23/2005
NPI Last Update Date: 03/05/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QF0400X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State: LA
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Federally Qualified Health Center (FQHC)
Taxonomy Definition:


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