DAVID RAINES COMMUNITY HEALTH CENTER, INC
NPI 1144079872
Clinic/Center - Federally Qualified Health Center (FQHC) in Shreveport, LA
About David Raines Community Health Center, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID RAINES COMMUNITY HEALTH CENTER, INC (NPI 1144079872), doing business as David Raines School Based Health Center-broadmoor Stem Academy, is a healthcare organization registered as a federally qualified health center (fqhc) in Shreveport, Louisiana and active in the NPI registry since May 2024. The organization holds 7 active CLIA laboratory certificates and lists Willie C White, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David Raines Community Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
68Medicare enrollment records show 68 clinicians reassign Medicare billing to David Raines Community Health Center, Inc, which bills Medicare for the services they deliver. Of these, 46 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 68Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 7
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D2308004
David Raines Community Health Centers - Broadmoor · Shreveport, LACertificate of Waiver 19D2308001
David Raines Community Health Centers Bossier High School · Bossier City, LACertificate of Waiver 19D2308003
David Raines Community Health Centers Rusheon Middle · Bossier City, LACertificate of Waiver 19D0899254
David Raines Community Health Center Shreveport North · Shreveport, LACertificate of Waiver 19D0934734
David Raines Community Health Center · Gilliam, LACertificate of Waiver 19D1027192
David Raines Community Health Center- Minden · Minden, LAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Raines Community Health Center, Inc's NPI number?
The NPI number for David Raines Community Health Center, Inc is 1144079872. It was assigned to this organization in the NPPES registry on May 15, 2024. The provider is doing business as David Raines School Based Health Center-Broadmoor Stem Academy.
Where is David Raines Community Health Center, Inc located?
David Raines Community Health Center, Inc is located at 441 Atlantic Ave, Shreveport, LA 71105. The listed phone number is (318) 723-7242.
What is David Raines Community Health Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is David Raines Community Health Center, Inc enrolled in Medicare?
Yes. David Raines Community Health Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through David Raines Community Health Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 8 Medicare specialties reassign their Medicare billing to David Raines Community Health Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (42), Mental Health Counselor (9) and Clinical Social Worker (5). Of these, 46 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does David Raines Community Health Center, Inc hold CLIA laboratory certificates?
Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does David Raines Community Health Center, Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list David Raines Community Health Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for David Raines Community Health Center, Inc was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# David Raines Community Health Center, Inc · NPI 1144079872
Federally Qualified Health Center (FQHC) organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since May 15, 2024.
## Identity
- **NPI:** 1144079872 (Entity type: Organization)
- **Enumerated:** May 15, 2024
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** David Raines School Based Health Center-Broadmoor Stem Academy (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Willie White, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 441 ATLANTIC AVE, Shreveport, LA 71105-2911
- **Phone:** (318) 723-7242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 68 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (42), Mental Health Counselor (9), Clinical Social Worker (5); 46 practice within 10 miles; [full list](https://npiprofile.com/npi/1144079872/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2024
- **Other identifiers:** Medicaid 1941638 (LA)
- **CLIA laboratory certificates:** 7 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144079872) · Data from the CMS NPPES public registry.