David Raines Community Health Center, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Keithville, Louisiana. The current practice location for David Raines Community Health Center, Inc is 12201 Mansfield Rd, Keithville, Louisiana. For appointments, you can reach them via phone at
(318) 364-5180. The mailing address for David Raines Community Health Center, Inc is 3041 Dr Martin Luther King Dr, Shreveport, Louisiana and phone number is (318) 227-3350.
David Raines Community Health Center, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1922734870. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(318) 364-5180.
Primary Care Clinic Profile
| Full Name | David Raines Community Health Center, Inc |
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| Speciality | Clinic/Center |
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| Location | 12201 Mansfield Rd, Keithville, Louisiana |
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| Authorized Official Name and Position | Willie C White (CHIEF EXECUTIVE OFFICER) |
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| Authorized Official Contact | 3182273342 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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David Raines Community Health Center, Inc
3041 Dr Martin Luther King Dr
Shreveport
LA 71107-4705
Ph: (318) 227-3350 | David Raines Community Health Center, Inc
12201 Mansfield Rd
Keithville
LA 71047-8534
Ph: (318) 364-5180 |
NPI Details:
| NPI Number | 1922734870 |
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| Provider Enumeration Date | 07/25/2022 |
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| Last Update Date | 07/25/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4688586118 |
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| Medicare Enrollment ID | O20231013000452 |
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Medical Identifiers
Medical identifiers for David Raines Community Health Center, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922734870 | NPI | - | NPPES |
| 1941638 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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