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DAVID RAINES COMMUNITY HEALTH CENTER, INC
NPI 1922734870
Clinic/Center - Federally Qualified Health Center (FQHC) in Keithville, LA

Active since July 25, 2022CLIA 19D0972549 · Waiver
12201 MANSFIELD RD, KEITHVILLE, LA 71047(318) 364-5180(318) 364-5186 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: September 20, 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 1922734870), doing business as David Raines School Based Health Center-keithville Elementary/middle, is a healthcare organization registered as a federally qualified health center (fqhc) in Keithville, Louisiana and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Willie C White, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1922734870
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDAVID RAINES COMMUNITY HEALTH CENTER, INC
Location Address12201 MANSFIELD RDKeithville, LA 71047-8534
Mailing Address3041 Dr Martin Luther King DrShreveport, LA 71107-4705 · (318) 227-3350 · Fax (318) 222-2979
Phone(318) 364-5180
Fax(318) 364-5186
Organization SubpartNo
Authorized OfficialWillie C WhiteChief Executive Officer · (318) 227-3342
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
✔ NPI 1922734870 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
12201 MANSFIELD RD, Keithville, LA 71047
Open in Google Maps ↗

Other Names 1

Doing Business AsDavid Raines School Based Health Center-keithville Elementary/middle

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

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 19D0972549

David Raines Community Health Center-Sbhc-Atkins · Shreveport, LA
Active · expires Apr 10, 2028
CLIA Number19D0972549
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorDarrell S. Barnett
Laboratory Phone(318) 227-3350
Laboratory LocationDavid Raines Community Health Center-Sbhc-Atkins7611 St Vincent Avenue, Shreveport, LA 71106
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 2

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

ANA RAMBIN NITEN MCD/CCC-SLP
Speech-Language Pathologist
12201 MANSFIELD RD
KEITHVILLE, LA 71047
Caddo Parish (318) 925-1005
MICHELE ELMORE TRAVERS
Speech-Language Pathologist
12201 MANSFIELD RD
KEITHVILLE, LA 71047
Caddo Parish (318) 364-2742

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 1922734870. It was assigned to this organization in the NPPES registry on July 25, 2022. The provider is doing business as David Raines School Based Health Center-Keithville Elementary/Middle.

Where is David Raines Community Health Center, Inc located?

David Raines Community Health Center, Inc is located at 12201 Mansfield Rd, Keithville, LA 71047. The listed phone number is (318) 364-5180.

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 19D0972549) is associated with this NPI, valid through April 10, 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 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 July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.