Active NPI
Winn Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Dry Prong, LA
National Provider Identifier
1083567549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- WINN COMMUNITY HEALTH CENTER, INC.
- Practice address
- 800 Grove St
Dry Prong, LA 71423-4379 - Phone
- (318) 648-0375
- NPI assigned
- Feb 16, 2026
- Organization subpart
- Yes
- Parent organization
- WINN COMMUNITY HEALTH CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annie Coleman
- Title
- Credentialing
- Phone
- (318) 628-2710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
800 Grove St
Dry Prong, LA 71423-4379
Mailing address
PO Box 1288
Winnfield, LA 71483-1288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260331004235 | LA | Part A Provider - Federally Qualified Health Center (FQHC) | 2567516545 | Practice locations: Dry Prong, LA |
Federally qualified health center certification: CCN 951804
- Legal name
- WINN COMMUNITY HEALTH CENTER, INC.
- Doing business as
- DRY PRONG COMMUNITY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 17, 2026
- Last certification
- Mar 17, 2026
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Enrollment address
- 800 Grove St
Dry Prong, LA 71423-4379
National Provider Directory
National Provider Directory- Tax ID family
- Winn Comm HLTH Ctr Inc
- Part of
- Winn Comm HLTH Ctr Inc
Organizations with this tax ID in the same state 21
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Family Medicine Physician
- Winnfield, LA
- NPI 1104025048
-
- Federally Qualified Health Center (FQHC)
- Alexandria, LA
- NPI 1013605823
-
- Federally Qualified Health Center (FQHC)
- Alexandria, LA
- NPI 1023629425
-
- Federally Qualified Health Center (FQHC)
- Ruston, LA
- NPI 1033092036
-
- Community/Retail Pharmacy
- Ruston, LA
- NPI 1033738240
-
- Federally Qualified Health Center (FQHC)
- Alexandria, LA
- NPI 1053264523
-
- Federally Qualified Health Center (FQHC)
- Marksville, LA
- NPI 1053958280
-
- Federally Qualified Health Center (FQHC)
- Pineville, LA
- NPI 1063100865
-
- Federally Qualified Health Center (FQHC)
- Elmer, LA
- NPI 1073255790
-
- Pharmacy
- Ringgold, LA
- NPI 1083214175
-
- Federally Qualified Health Center (FQHC)
- Woodworth, LA
- NPI 1093402059
-
- Federally Qualified Health Center (FQHC)
- Alexandria, LA
- NPI 1134741077
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Deano Thornton | Corporate Director | Jun 15, 2009 | |
| W-2 Managing Employee | Jun 15, 2009 | ||
| Glenda Melton | Corporate Director | Jun 15, 2009 | |
| Lanika Walker | Corporate Director | Jun 15, 2009 | |
| Brent Hubbard | Corporate Director | Jun 15, 2009 | |
| Cynthia Jamison | Corporate Director | Jun 15, 2009 | |
| Kaye Pyles | Corporate Director | Jun 15, 2009 | |
| Katina Smith | Corporate Director | Jun 15, 2009 | |
| June Melton | Corporate Director | Jun 15, 2009 | |
| Brenda Jones | Corporate Director | Jun 15, 2009 | |
| Joe Bass | Corporate Director | Jun 15, 2009 | |
| Stanley King | Corporate Director | Jun 15, 2009 | |
| Michelle Carpenter | Corporate Director | Jun 15, 2009 | |
| Matthew Walton | Corporate Director | Jun 15, 2009 |
All facility ownership & control disclosures 22
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Grant Community Health Center | Federally qualified health center | Operational/Managerial Control | Feb 24, 2014 |
| Bienville Community Health Center | Federally qualified health center | Operational/Managerial Control | Sep 1, 2015 |
| Winn Community Health Center, Inc. | Federally qualified health center | Operational/Managerial Control | Apr 1, 2017 |
| Winn Community Health Center, Inc. | Federally qualified health center | Operational/Managerial Control | Jul 17, 2017 |
| Rapides Academy School Based Clinic | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Cherokee Elementary School Based Clinic | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Tioga Elementary School Based Clinic | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Hayden R Lawrence Upper Esbc | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Oak Hill High School Based Clinic | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Forest Hill Jr High School Based Clinic | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Poland Jr. High School Based Clinic | Federally qualified health center | Operational/Managerial Control | May 25, 2022 |
| Plainview High School Based Clinic | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Ball Elementary School Based Clinic | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Rapides High School Based Clinic | Federally qualified health center | Operational/Managerial Control | Mar 1, 2019 |
| Carter C. Raymond Elementary School Based Clinic | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Alma Redwine Esbc | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Paradise Esbc | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Ruby Wise Elementary SBC | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Mary Goff Elementary SBC | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| South Grant Community Health Center | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Winnfield Physical Therapy | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
| Montgomery Community Health Center | Federally qualified health center | Operational/Managerial Control | Mar 1, 2009 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1083567549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1288",
"city": "WINNFIELD",
"state": "LA",
"postal_code": "714831288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GROVE ST",
"city": "DRY PRONG",
"state": "LA",
"postal_code": "714234379",
"telephone_number": "318-648-0375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINN COMMUNITY HEALTH CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WINN COMMUNITY HEALTH CENTER, INC.",
"enumeration_date": "2026-02-16",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "ANNIE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "318-628-2710"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dry Prong, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.