DAVID RAINES COMMUNITY HEALTH CENTER, INC – NPI #1598761496
Clinic/Center

DAVID RAINES COMMUNITY HEALTH CENTER, INC is an AHC clinic located in GILLIAM, LA. NPPES has assigned the NPI number 1598761496 to DAVID RAINES COMMUNITY HEALTH CENTER, INC on June 24, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 2 years ago on Feb 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID RAINES COMMUNITY HEALTH CENTER, INC below.

NPI Profile for
DAVID RAINES COMMUNITY HEALTH CENTER, INC

NPI Number
1598761496
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DAVID RAINES COMMUNITY HEALTH CENTER, INC
Primary location
12763 LAY STREET
GILLIAM, LA 71029
Phone: (318) 296-4287 Fax: (318) 296-4337
Mailing address
3041 DR MARTIN LUTHER KING DR
SHREVEPORT, LA 71107-4705
Phone: (318) 227-3350 Fax: (318) 222-2979
Organization Subpart
No
Authorized Official
WILLIE WHITE
CEO
Phone: (318) 425-2252
Updated
Certification Date
Feb 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DAVID RAINES COMMUNITY HEALTH CENTER, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidLA1946541
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 LA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.