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CH06192F 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 Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013240
340B ID
CH06192F
Grant Number
H80CS00720
Additional Details
Current Program Status
Active
Registration Date
4/4/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/12/2016
Last Recertification Date
2/18/2025
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
3021 W 70th St
Shreveport, LA 71108-4603
Billing Address
David Raines Community Health Center, Inc.
3041 Dr. Martin Luther King, Jr. Drive
Shreveport, LA 71108-4603
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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