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DAVID RAINES SCHOOL BASED HEALTH CENTER-JS CLARK
NPI 1437673464
Clinic/Center - Federally Qualified Health Center (FQHC) in Shreveport, LA

Active since August 01, 2017CLIA Certified · 2 labs
351 HEARNE AVE, SHREVEPORT, LA 71103(318) 425-8742 Get Directions Write a Review

NPPES record last updated: August 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Raines School Based Health Center-js Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID RAINES SCHOOL BASED HEALTH CENTER-JS CLARK (NPI 1437673464) is a healthcare organization registered as a federally qualified health center (fqhc) in Shreveport, Louisiana and active in the NPI registry since August 2017. The organization holds 2 active CLIA laboratory certificates and lists Willie C. White, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1437673464
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDAVID RAINES COMMUNITY HEALTH CENTER, INC.
Location Address351 HEARNE AVEShreveport, LA 71103-2019
Mailing Address3041 Martin Luther King DriveShreveport, LA 71107-4705 · (318) 227-3350 · Fax (318) 222-2979
Phone(318) 425-8742
Organization SubpartNo
Authorized OfficialWillie C. WhiteChief Executive Officer · (318) 227-3350
Enumeration DateAugust 1, 2017
✔ NPI 1437673464 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
351 HEARNE AVE, Shreveport, LA 71103
Open in Google Maps ↗

Other Names 1

Doing Business AsDavid Raines School Based Health Center-js Clark

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 2

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 19D2267843

David Raines School Based Health Center-Fair Park · Shreveport, LA
Active · expires Aug 31, 2026
CLIA Number19D2267843
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDarrell Barnett
Laboratory Phone(318) 227-3350
Laboratory LocationDavid Raines School Based Health Center-Fair Park3222 Greenwood Road, Shreveport, LA 71109
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2267846

David Raines School Based Health Center-Keithville · Keithville, LA
Active · expires Aug 31, 2026
CLIA Number19D2267846
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDarrell Barnett
Laboratory Phone(318) 227-3350
Laboratory LocationDavid Raines School Based Health Center-Keithville12201 Mansfield Rd, Keithville, LA 71047
CLIA data matches this NPI record on: 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.

TANQUENIKA MARKRAY APRN
Nurse Practitioner (Pediatrics)
351 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 603-7218

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 1437673464. It was assigned to this organization in the NPPES registry on August 1, 2017. The provider is doing business as David Raines School Based Health Center-Js Clark.

Where is David Raines Community Health Center, Inc. located?

David Raines Community Health Center, Inc. is located at 351 Hearne Ave, Shreveport, LA 71103. The listed phone number is (318) 425-8742.

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. 2 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 3 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 August 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.