DAVID RAINES SCHOOL BASED HEALTH CENTER-JS CLARK
NPI 1437673464
Clinic/Center - Federally Qualified Health Center (FQHC) in Shreveport, LA
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 a CLIA Waiver certificate valid through August 31, 2028 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 School Based Health Center-js Clark 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 School Based Health Center-Js Clark, which bills Medicare for the services they deliver. Of these, 49 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
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 19D2267846
David Raines School Based Health Center-Keithville · Keithville, 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 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.
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, 49 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 a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2267846) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 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.
# David Raines School Based Health Center-Js Clark · NPI 1437673464
Federally Qualified Health Center (FQHC) organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since August 1, 2017.
## Identity
- **NPI:** 1437673464 (Entity type: Organization)
- **Enumerated:** August 1, 2017
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** David Raines Community Health Center, Inc.
- **Organization subpart:** No
- **Authorized official:** Willie White, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 351 HEARNE AVE, Shreveport, LA 71103-2019
- **Phone:** (318) 425-8742
## 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); 49 practice within 10 miles; [full list](https://npiprofile.com/npi/1437673464/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2017
- **Other identifiers:** Medicaid 1941638 (LA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437673464) · Data from the CMS NPPES public registry.