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DAVID RAINES COMMUNITY HEALTH CENTER INC
NPI 1144705930
Clinic/Center - Federally Qualified Health Center (FQHC) in Shreveport, LA

Active since September 27, 2018
1625 DAVID RAINES RD, SHREVEPORT, LA 71107(318) 425-2252(318) 425-2367 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 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 1144705930), doing business as David Raines Community Health Center - Mobile Dental, is a healthcare organization registered as a federally qualified health center (fqhc) in Shreveport, Louisiana and active in the NPI registry since September 2018. The organization lists Willie C White, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1144705930
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDAVID RAINES COMMUNITY HEALTH CENTER INC
Location Address1625 DAVID RAINES RDShreveport, LA 71107-5899
Mailing Address3041 Dr Martin Luther King DrShreveport, LA 71107-4705 · (318) 227-3350 · Fax (318) 222-2979
Phone(318) 425-2252
Fax(318) 425-2367
Organization SubpartYes
Authorized OfficialWillie C WhiteChief Executive Officer · (318) 227-3350
Enumeration DateSeptember 27, 2018
✔ NPI 1144705930 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
1625 DAVID RAINES RD, Shreveport, LA 71107
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Other Names 1

Doing Business AsDavid Raines Community Health Center - Mobile Dental

Other Providers at the Same Location NPPES 20

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

DANA SUMBLER NURSE PRACTITIONER
Nurse Practitioner
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
MS. ROSALINE MICHELLE DARTY AP NP
Nurse Practitioner (Psychiatric/Mental Health)
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
DAVID RAINES COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
DAVID RAINES COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
DAVID RAINES COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
DAVID RAINES COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
LAWRENCE DWAYNE COUNTS MD
Internal Medicine (Nephrology)
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
GEORGE C HENDERSON JR. M.D.
Family Medicine
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 841-6048

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 1144705930. It was assigned to this organization in the NPPES registry on September 27, 2018. The provider is doing business as David Raines Community Health Center - Mobile Dental.

Where is David Raines Community Health Center Inc located?

David Raines Community Health Center Inc is located at 1625 David Raines Rd, Shreveport, LA 71107. The listed phone number is (318) 425-2252.

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.

When was this NPI record last updated?

The NPPES record for David Raines Community Health Center Inc was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.