David Raines Community Health Center, Inc.

A Medicare group practice based in Shreveport, LA: 21 NPIs enrolled under one PECOS associate control ID (PAC ID 4688586118), with 66 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4688586118The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
LA
Enrollments
19
Group size
14 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
36In 7 places

Enrollment records 19

Enrollment IDStateProvider typeNPI
O20140304000086 LA Part A Provider - Federally Qualified Health Center (FQHC) 1104249473
O20231114000494 LA Part A Provider - Federally Qualified Health Center (FQHC) 1982379335
O20231114000305 LA Part A Provider - Federally Qualified Health Center (FQHC) 1760042394
O20231114003529 LA Part A Provider - Federally Qualified Health Center (FQHC) 1760904981
O20231102001758 LA Part A Provider - Federally Qualified Health Center (FQHC) 1437673464
O20231110001802 LA Part A Provider - Federally Qualified Health Center (FQHC) 1346977055
O20231004000961 LA Part A Provider - Federally Qualified Health Center (FQHC) 1760906630
O20231013000452 LA Part A Provider - Federally Qualified Health Center (FQHC) 1922734870
O20231101001890 LA Part A Provider - Federally Qualified Health Center (FQHC) 1942083191
O20231013003204 LA Part A Provider - Federally Qualified Health Center (FQHC) 1487178315
O20240831000252 LA Part A Provider - Federally Qualified Health Center (FQHC) 1326883091
O20240828002361 LA Part A Provider - Federally Qualified Health Center (FQHC) 1144079872
O20240725003185 LA Part A Provider - Federally Qualified Health Center (FQHC) 1871338657
O20031104000096 LA Part A Provider - Federally Qualified Health Center (FQHC) 1215933254
O20031104000092 LA Part A Provider - Federally Qualified Health Center (FQHC) 1598761496
O20040309000116 LA Part A Provider - Federally Qualified Health Center (FQHC) 1912903964
O20040309000080 LA Part A Provider - Federally Qualified Health Center (FQHC) 1265438998
O20080317000042 LA Part A Provider - Federally Qualified Health Center (FQHC) 1891964789
O20041007000508 LA Part B Supplier - Clinic/Group Practice 1215933254

NPIs in this group 21

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 66

Clinicians who reassign their Medicare benefits to this group (66) or whom Care Compare lists as members (14).

Sources for this page