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: November 01, 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
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

Other Names 1

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

Other Identifiers 1

Medicaid1941638LA

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 Community Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to David Raines Community Health Center, Inc, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner42
Mental Health Counselor9
Clinical Social Worker5
Family Practice3
Pediatric Medicine3
Psychiatry3
Internal Medicine2
General Practice1

Nearest to this location (20)

See all 68
Clinical Social Worker
NPI 1730585589
4813 BRAMBLE WAY
Shreveport, LA 71118
(318) 207-0267
✔ PECOS4.1 mi
Nurse Practitioner
NPI 1760738801
7505 PINES RD STE 1100
Shreveport, LA 71129
(318) 425-9965
✔ PECOS✔ Accepts Medicare6.8 mi
Nurse Practitioner
NPI 1306266085
3021 W 70TH ST
Shreveport, LA 71108
(318) 507-3140
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1093191678
140 GULFSTREAM LN
Shreveport, LA 71106
(318) 751-5417
✔ PECOS7.5 mi
Mental Health Counselor
NPI 1265807325
7611 SAINT VINCENT AVE
Shreveport, LA 71106
(318) 868-4552
✔ PECOS7.5 mi
Internal Medicine
NPI 1487652970
8525 LINE AVE STE A
Shreveport, LA 71106
(318) 300-4926
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1902537947
401 W 70TH ST
Shreveport, LA 71106
(318) 868-4552
✔ PECOS7.8 mi
Nurse Practitioner
NPI 1659677540
9460 MILBANK DR
Shreveport, LA 71115
(318) 658-4114
✔ PECOS7.8 mi
Nurse Practitioner
NPI 1467187120
8383 MILLICENT WAY
Shreveport, LA 71115
(318) 797-6661
✔ PECOS✔ Accepts Medicare8.6 mi
Mental Health Counselor
NPI 1114379344
1950 EARL ST
Shreveport, LA 71108
(318) 294-4336
✔ PECOS✔ Accepts Medicare8.9 mi
Pediatric Medicine
NPI 1205814654
1549 E 70TH ST STE 300
Shreveport, LA 71105
(318) 681-4896
✔ PECOS9.2 mi
Nurse Practitioner
NPI 1275290736
1453 E BERT KOUN LOOP
Shreveport, LA 71105
(318) 681-5503
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1568015584
1602 KINGS HWY
Shreveport, LA 71103
(318) 626-0050
✔ PECOS10 mi
Nurse Practitioner
NPI 1962526434
1501 KINGS HWY
Shreveport, LA 71103
(318) 675-5000
✔ PECOS✔ Accepts Medicare10 mi
Mental Health Counselor
NPI 1194199208
82O JORDAN ST SUITE 510A
Shreveport, LA 71101
(318) 861-1090
✔ PECOS12 mi
Clinical Social Worker
NPI 1861948143
2924 KNIGHT ST STE 426
Shreveport, LA 71105
(318) 754-3560
✔ PECOS12 mi
Psychiatry
NPI 1356319453
1002 HIGHLAND AVE SUITE 201
Shreveport, LA 71101
(318) 675-1300
✔ PECOS12 mi
Family Practice
NPI 1821228909
1625 DAVID RAINES RD
Shreveport, LA 71107
(318) 425-2252
✔ PECOS13 mi
Internal Medicine
NPI 1275508962
1625 DAVID RAINES RD
Shreveport, LA 71107
(318) 425-2252
✔ PECOS✔ Accepts Medicare13 mi
Pediatric Medicine
NPI 1346354297
2300 HOSPITAL DR STE 420
Bossier City, LA 71111
(318) 212-7880
✔ PECOS16 mi
See all 68 clinicians

Source: 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 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.

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.

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, 12 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 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 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 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.