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CH06192L David Raines Community Health Center, Inc. (Active)
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Main Details
Name
David Raines Community Health Center, Inc.
Subdivision Name
David Raines School Based Health Center - OakPark
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027852
340B ID
CH06192L
Grant Number
H80CS00720
Additional Details
Current Program Status
Active
Registration Date
3/3/2021
Participating Start Date
4/1/2021
Participating Approval Date
3/3/2021
Last Recertification Date
2/21/2025
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
4331 Henry St
Shreveport, LA 71109-6820
Billing Address
David Raines Community Health
3041 Dr Martin Luther King Jr Dr
shreveport, LA 71107
Comments
Medicaid Billing
Shipping Addresses
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Grantee Sites Contract Pharmacies
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