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DAVID RAINES COMMUNITY HEALTH CENTER, INC
NPI 1144079872
Clinic/Center - Federally Qualified Health Center (FQHC) in Shreveport, LA

Active since May 15, 2024CLIA Certified · 3 labs
441 ATLANTIC AVE, SHREVEPORT, LA 71105(318) 723-7242 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 3 active CLIA laboratory certificates and lists Willie C White, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1144079872
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDAVID RAINES COMMUNITY HEALTH CENTER, INC
Location Address441 ATLANTIC AVEShreveport, LA 71105-2911
Mailing Address3041 Dr Martin Luther King DrShreveport, LA 71107-4705 · (318) 723-7242 · Fax (318) 222-2979
Phone(318) 723-7242
Organization SubpartNo
Authorized OfficialWillie C WhiteChief Executive Officer · (318) 723-7242
Enumeration DateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1144079872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
441 ATLANTIC AVE, Shreveport, LA 71105
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Other Names 1

Doing Business AsDavid Raines School Based Health Center-broadmoor Stem Academy

Other Identifiers 1

Medicaid1941638LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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, LA
Active · expires Jul 17, 2028
CLIA Number19D2308004
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorDarrell Barnett
Laboratory Phone(318) 723-7242
Laboratory LocationDavid Raines Community Health Centers - Broadmoor441 Atlantic Ave, Shreveport, LA 71105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2308001

David Raines Community Health Centers Bossier High School · Bossier City, LA
Active · expires Jul 17, 2028
CLIA Number19D2308001
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorDarrell Barnett
Laboratory Phone(318) 723-7242
Laboratory LocationDavid Raines Community Health Centers Bossier High School777 Bearkat Dr, Bossier City, LA 71111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2308003

David Raines Community Health Centers Rusheon Middle · Bossier City, LA
Active · expires Jul 17, 2028
CLIA Number19D2308003
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorDarrell Barnett
Laboratory Phone(318) 723-7242
Laboratory LocationDavid Raines Community Health Centers Rusheon Middle2401 Old Minden Road, Bossier City, LA 71112
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY CLAIBORNE DAY M.C.D. CCC-SLP
Speech-Language Pathologist
441 ATLANTIC AVE
SHREVEPORT, LA 71105
Caddo Parish (318) 393-7019

Frequently 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.

Does David Raines Community Health Center, Inc hold CLIA laboratory certificates?

Yes. 3 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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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.