George C Henderson (NPI# 1285650713, PAC ID# 2860525995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1285650713 |
| PAC ID by PECOS | 2860525995 |
| Professional Enrollment ID | I20100727000223 |
| Full Name | George C Henderson |
| Organization Legal Name | DAVID RAINES COMMUNITY HEALTH CENTER, INC. |
| Address |
1953 E Main St Hayneville LA 71038-4907 |
| Phone Number | 3186241995 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4688586118 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1514 Doctors Dr, Bossier City, LA 71111-3379 | 3185492500 | DAVID RAINES COMMUNITY HEALTH CENTER, INC. |
| 1953 E Main St, Hayneville, LA 71038-4907 | 3186241995 | DAVID RAINES COMMUNITY HEALTH CENTER, INC. |
| 128 Homer Rd, Minden, LA 71055-2732 | 3183771545 | DAVID RAINES COMMUNITY HEALTH CENTER, INC. |
| 1625 David Raines Rd, Shreveport, LA 71107-5899 | 3186241995 | DAVID RAINES COMMUNITY HEALTH CENTER, INC. |
| 3021 W 70th St, Shreveport, LA 71108-4603 | 3182273350 | DAVID RAINES COMMUNITY HEALTH CENTER, INC. |
| Organization Legal Name | DAVID RAINES COMMUNITY HEALTH CENTER, INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Post | General Practice | David Raines Community Health Center, Inc. | 1625 David Raines Rd, Shreveport, LA 71107-5899 |
| Pratibha Anne | Family Medicine | David Raines Community Health Center, Inc. | 3021 W 70th St, Shreveport, LA 71108-4603 |
| Kent E Copeland | Family Practice | David Raines Community Health Center, Inc. | 1514 Doctors Dr, Bossier City, LA 71111-3379 |
| Betty J Farmer | Nurse Practitioner | David Raines Community Health Center, Inc. | 1625 David Raines Rd, Shreveport, LA 71107-5899 |
| Blanca I Osorio | Psychiatry | David Raines Community Health Center, Inc. | 1625 David Raines Rd, Shreveport, LA 71107-5899 |
| Street Address |
1953 E MAIN ST |
| City | HAYNEVILLE |
| State | LA |
| Zip | 71038-4907 |
| City | HAYNEVILLE |
| Zip Code | 71038 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | HAYNEVILLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on George C Henderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.