Organization
DAVID RAINES COMMUNITY HEALTH CENTER, INC.
Active
Other names
David Raines School Based Health Center - Linwood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE C. WHITE III CEO (CHIEF EXECUTIVE OFFICER)
(318) 227-3350
Entity
Organization
Contact information
Practice address
401 W 70TH ST, SHREVEPORT, LA 71106-3034
(318) 227-3350
Mailing address
3041 MARTIN LUTHER KING DRIVE, SHREVEPORT, LA 71107-4705
(318) 227-3350
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
LA
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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