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CH06192E DAVID RAINES COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
DAVID RAINES COMMUNITY HEALTH CENTER, INC.
Subdivision Name
David Raines Community Health Centers, Inc. - Bossier
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003901
340B ID
CH06192E
Grant Number
H80CS00720
Additional Details
Current Program Status
Active
Registration Date
2/28/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/3/2011
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
David Raines Community Health Centers
Willie C. White III, CEO
(318) 227-3349 Ext: 3160
Primary Contact
David Raines Community Health Centers
Myrtis Edwards, COO
(318) 227-3342
Addresses
Street Address
1514 Doctors Dr
Bossier City, LA 71111-3379
Billing Address
David Raines Community Health Centers
3041 Dr. MLK Jr. Drive
Shreveport, LA 71107
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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