NPIMap

Organization Active NPI

Pinnacle Family Health Inc

  • Federally Qualified Health Center (FQHC)
  • West Monroe, LA
National Provider Identifier
1003207085
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PINNACLE FAMILY HEALTH INC
Practice address
101 Crosley St
West Monroe, LA 71291-2913
Phone
(318) 325-1092
Fax
(318) 325-1222
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Head
Title
Cfo
Phone
(318) 582-3587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

101 Crosley St
West Monroe, LA 71291-2913

Mailing address

101 Crosley St
West Monroe, LA 71291-2913
Phone (318) 325-1092

Other names 2

  • GO CARE Doing business as
  • GREATER OUACHITA COAL PROVIDING AIDS RESOURCES AND EDUCATION INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150708000073 LA Part B Supplier - Clinic/Group Practice 2264744028 Receives reassigned benefits from 7 practitioners
Practice locations: West Monroe, LA
O20191120002511 LA Part A Provider - Federally Qualified Health Center (FQHC) 2264744028 Practice locations: West Monroe, LA

Federally qualified health center certification: CCN 191017

Legal name
PINNACLE FAMILY HEALTH INC
Doing business as
GO CARE COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 19, 2019
Last certification
Nov 19, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 27, 1988 in LA
Enrollment address
101 Crosley St
West Monroe, LA 71291-2913

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1062671Pinnacle Family Health Inc101 Crosley Street, West Monroe, LA 71291Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Go Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Crosley St
West Monroe, LA 71291
Phone (318) 325-1092

1801 N 7th St
Ste A
West Monroe, LA 71291
Phone (318) 322-8535

1801 N 7th St
West Monroe, LA 71291
Phone (318) 387-4388

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFGJBD

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin Lynn Marcantel Individual Corporate OfficerBoard President Jan 23, 2019
Jodi Bower Individual Corporate OfficerTreasurer May 22, 2020
Laurie L Hamilton Individual W-2 Managing EmployeeNurse Practitioner Jun 6, 2019
Mark Windham Individual Corporate DirectorCeo Apr 18, 2016 100%
Jason Davis Individual Corporate OfficerSecretary Mar 23, 2022
David a Culp Individual W-2 Managing EmployeeNurse Practitioner Sep 1, 2018
Nancy Carol Head Individual Corporate DirectorDirector of Fiscal Services Jul 20, 2015

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1003207085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CROSLEY ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912913",
            "telephone_number": "318-325-1092",
            "fax_number": "318-325-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CROSLEY ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912913",
            "telephone_number": "318-325-1092",
            "fax_number": "318-325-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE FAMILY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-582-3587"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GO CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GREATER OUACHITA COAL PROVIDING AIDS RESOURCES AND EDUCATION INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.