DAVID RAINES COMMUNITY HEALTH CENTER INC
NPI 1144705930
Clinic/Center - Federally Qualified Health Center (FQHC) in Shreveport, LA
NPI Status: Active since September 27, 2018
Contact Information
1625 DAVID RAINES RD
SHREVEPORT, LA
ZIP 71107
Phone: (318) 425-2252
Fax: (318) 425-2367
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 19D1082662
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 04-27-2026
About DAVID RAINES COMMUNITY HEALTH CENTER INC
This page provides the complete NPI Profile along with additional information for David Raines Community Health Center Inc, a primary care provider established in Shreveport, Louisiana operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1144705930 assigned on September 2018. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Willie C White Iii (Chief Executive Officer)
- NPI
- 1144705930
- Provider Name
- DAVID RAINES COMMUNITY HEALTH CENTER INC
- Entity Type
- Organization
- Location Address
- 1625 DAVID RAINES RD SHREVEPORT, LA 71107
- Location Phone
- (318) 425-2252
- Location Fax
- (318) 425-2367
- Mailing Address
- 3041 DR MARTIN LUTHER KING DR SHREVEPORT, LA 71107
- Mailing Phone
- (318) 227-3350
- Mailing Fax
- (318) 425-2367
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-27-2018
- Last Update Date
- 09-27-2018
- Code Navigator
A primary care provider (PCP) like David Raines Community Health Center Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D1082662
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- April 28, 2024
- Certificate Expiration Date
- April 27, 2026
- Laboratory Director
- LAWRENCE D. COUNTS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to David Raines Community Health Center Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 7 | 0 | 5 | 9 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 14 | 0 | 10 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 1 + 4 + 0 + 1 + 0 + 9 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1144705930 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285650713 | GEORGE C HENDERSON JR. M.D. Individual | Family Medicine | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 841-6048 |
| 1639260516 | DR. MICHAEL A HENLEY DDS Individual | Dentist | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1518010917 | MS. BETTY JONES FARMER NP Individual | Nurse Practitioner (Family) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1346447315 | GERALDINE MACK LCSW Individual | Social Worker (Clinical) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1841469731 | DAVID RAINES COMMUNITY HEALTH CENTERS, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1932369535 | DAVID RAINES COMMUNITY HEALTH CENTER Organization | Clinic/Center (Dental) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1487880407 | MRS. SADAF JAVAID M.D, Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 841-6048 |
| 1821228909 | PRATIBHA ANNE MD Individual | Family Medicine | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1508178559 | DR. BENJAMIN JOSEPH BUMGARDNER D.D.S. Individual | Dentist (General Practice) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1245531987 | ALEXANDRA K DRAKE PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 549-2500 |
| 1720132012 | VICTORIA LOMAX SPECIAN PA-C Individual | Physician Assistant | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 227-3348 |
| 1861415721 | DAVID RAINES COMMUNITY HEALTH CENTER INC Organization | Pharmacy (Community/Retail Pharmacy) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 227-3355 |
| 1114472875 | DANA SUMBLER NURSE PRACTITIONER Individual | Nurse Practitioner | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1871019406 | MS. SHAMIKA NICOLE CALHOUN FNP Individual | Nurse Practitioner (Family) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1376630632 | DAVID RAINES COMMUNITY HEALTH CENTER Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1932243094 | DR. RICHARD C VANDIVER DDS Individual | Dentist (General Practice) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 841-6048 |
| 1558918722 | DR. BISI JOSEPH EKUNDAYO DMD Individual | Dentist | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1265216451 | DAVID RAINES COMMUNITY HEALTH CENTER, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1275317455 | DAVID RAINES COMMUNITY HEALTH CENTER, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
| 1215933254 | DAVID RAINES COMMUNITY HEALTH CENTER, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1625 DAVID RAINES RD SHREVEPORT, LA 71107 (318) 425-2252 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144705930, enumerated in the NPI registry as an "organization" on September 27, 2018
The provider is located at 1625 David Raines Rd Shreveport, La 71107 and the phone number is (318) 425-2252
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider's CLIA number is 19D1082662 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 27, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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