| David Raines Community Health Center Inc | |
|
128 Homer Rd Minden LA 71055-2732 | |
| (318) 377-1545 | |
| (318) 377-1504 |
| Full Name | David Raines Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 128 Homer Rd, Minden, 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 128 Homer Rd Minden LA 71055-2732 Ph: (318) 377-1545 |
| NPI Number | 1265438998 |
|---|---|
| Provider Enumeration Date | 06/27/2005 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 4688586118 |
|---|---|
| Medicare Enrollment ID | O20040309000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265438998 | NPI | - | NPPES |
| 1941638 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Louisiana) | Primary |
Lemlo Medical Corporation, Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Homer Rd, Minden, LA 71055 Phone: 318-382-1976 Fax: 318-377-9869 | |
Minden Internal Medicine & Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Office Park Dr, Minden, LA 71055 Phone: 318-377-2979 Fax: 318-377-2596 | |
Minden Ladies Rural Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 427 Homer Rd, Minden, LA 71055 Phone: 318-377-8855 Fax: 318-377-8804 | |
Cordova Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-6500 Fax: 318-377-6503 | |
Minden Family Care Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 Morris Dr, Minden, LA 71055 Phone: 318-377-8260 Fax: 318-377-9053 | |
Workfit Industrial Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Monroe St, Ste B, Minden, LA 71055 Phone: 318-382-4900 |