| David Raines Community Health Center, Inc | |
|
3222 Greenwood Rd Shreveport LA 71109-5235 | |
| (318) 364-5170 | |
| (318) 364-5176 |
| Full Name | David Raines Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3222 Greenwood Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Willie C White (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3182273342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 3222 Greenwood Rd Shreveport LA 71109-5235 Ph: (318) 364-5170 |
| NPI Number | 1346977055 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Medicare PECOS PAC ID | 4688586118 |
|---|---|
| Medicare Enrollment ID | O20231110001802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346977055 | NPI | - | NPPES |
| 1941638 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
J J Burgin Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1032 Lochinvar Ln, Shreveport, LA 71106 Phone: 562-569-1601 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 |