| David Raines Community Health Center, Inc | |
|
1953 Main St Haynesville LA 71038-4907 | |
| (318) 624-1995 | |
| (318) 625-1985 |
| Full Name | David Raines Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1953 Main St, Haynesville, Louisiana |
| Authorized Official Name and Position | Willie C White (CEO) |
| Authorized Official Contact | 3184252252 |
| 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 1953 Main St Haynesville LA 71038-4907 Ph: (318) 624-1995 |
| NPI Number | 1912903964 |
|---|---|
| Provider Enumeration Date | 06/23/2005 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 4688586118 |
|---|---|
| Medicare Enrollment ID | O20040309000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912903964 | NPI | - | NPPES |
| 1941638 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Louisiana) | Primary |
Butler-abshire Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 926 Frances Dr, Haynesville, LA 71038 Phone: 318-624-0554 | |
Wk Butler-abshire Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 926 Frances Dr, Haynesville, LA 71038 Phone: 318-624-0554 Fax: 318-624-3782 | |
Butler-abshire Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Frances Dr, Haynesville, LA 71038 Phone: 318-624-0554 Fax: 318-624-3782 | |
Butler-abshire Medical Clinic, Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 926 Frances Dr, Haynesville, LA 71038 Phone: 318-624-0554 Fax: 318-624-3782 |