DAVID RAINES COMMUNITY HEALTH CENTER, INC
NPI 1871338657
Clinic/Center - Federally Qualified Health Center (FQHC) in Bossier City, LA

Active since June 25, 2024CLIA 19D1082662 · Waiver
777 BEARKAT DR, BOSSIER CITY, LA 71111(318) 723-7242 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: September 27, 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 1871338657), doing business as David Raines School Based Health Center- Bossier High School, is a healthcare organization registered as a federally qualified health center (fqhc) in Bossier City, Louisiana and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Willie C. White, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1871338657
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDAVID RAINES COMMUNITY HEALTH CENTER, INC
Location Address777 BEARKAT DRBossier City, LA 71111-4565
Mailing Address3041 Dr Martin Luther King DrShreveport, LA 71107-4705 · (318) 723-7242 · Fax (318) 222-2979
Organization SubpartNo
Authorized OfficialWillie C. WhiteChief Executive Officer · (318) 723-7242
Enumeration DateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1871338657 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
777 BEARKAT DR, Bossier City, LA 71111

Other Names 1

Doing Business AsDavid Raines School Based Health Center- Bossier High School

Other Identifiers 1

Medicaid1941638LA

Accepted Insurance

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 19D1082662

David Raines Community Health Centers-Bossier · Bossier City, LA
Active · expires Apr 27, 2028
CLIA Number19D1082662
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorThomas S. Trawick
Laboratory Phone(318) 723-7242
Laboratory LocationDavid Raines Community Health Centers-Bossier1514 Doctors Drive, 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.

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 1871338657. It was assigned to this organization in the NPPES registry on June 25, 2024. The provider is doing business as David Raines School Based Health Center- Bossier High School.

Where is David Raines Community Health Center, Inc located?

David Raines Community Health Center, Inc is located at 777 Bearkat Dr, Bossier City, LA 71111. 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1082662) is associated with this NPI, valid through April 27, 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 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 June 25, 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.