Active NPI
Winn Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Ruston, LA
National Provider Identifier
1144103151
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
- 1601 Bittersweet Ave
Ruston, LA 71270-2036 - Phone
- (318) 648-0375
- NPI assigned
- Jul 28, 2025
- 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
- David Adams
- Title
- Coo
- Phone
- (318) 648-0375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1601 Bittersweet Ave
Ruston, LA 71270-2036
Mailing address
PO Box 1288
Winnfield, LA 71483-1288
Phone (318) 209-4501
Other names 1
- Glen View ESBC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250813003225 | LA | Part A Provider - Federally Qualified Health Center (FQHC) | 2567516545 | Practice locations: Ruston, LA |
| O20250918003485 | LA | Part A Provider - Federally Qualified Health Center (FQHC) | 2567516545 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ruston, LA |
Federally qualified health center certification: CCN 711916
- Legal name
- WINN COMMUNITY HEALTH CENTER, INC.
- Doing business as
- GLEN VIEW ELEMENTARY SBC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jul 30, 2025
- Last certification
- Jul 30, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Enrollment address
- 1601 Bittersweet Ave
Ruston, LA 71270-2036
Federally qualified health center certification: CCN 711930
- Legal name
- WINN COMMUNITY HEALTH CENTER, INC.
- Doing business as
- CYPRESS SPRINGS ESBC
- Organization structure
- Corporation
- Enrollment address
- 1040 Saratoga St
Ruston, LA 71270-5159
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Ruston, LA
- NPI 1447133459
O20250918003485
National Provider Directory
National Provider Directory- Part of
- Winn Comm HLTH Ctr Inc
Ownership & related parties
All disclosed owners & managing parties 11
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 | Mar 1, 2009 | |
| W-2 Managing Employee | Mar 1, 2009 | ||
| Operational/Managerial Control | Mar 1, 2009 | ||
| Brent Hubbard | Corporate Director | Mar 1, 2009 | |
| Cynthia Jamison | Corporate Director | Mar 1, 2009 | |
| Kaye Pyles | Corporate Director | Mar 1, 2009 | |
| Corporate Director | Jun 15, 2009 | ||
| Katina Smith | Corporate Director | Mar 1, 2009 | |
| June Melton | Corporate Director | Mar 1, 2009 | |
| Brenda Jones | Corporate Director | Mar 1, 2009 | |
| Joe Bass | Corporate Director | Mar 1, 2009 | |
| Stanley King | Corporate Director | Mar 1, 2009 | |
| Michelle Carpenter | Corporate Director | Mar 1, 2009 | |
| Matthew Walton | Corporate Director | Mar 1, 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": "1753660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1144103151",
"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",
"telephone_number": "318-209-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BITTERSWEET AVE",
"city": "RUSTON",
"state": "LA",
"postal_code": "712702036",
"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": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "318-648-0375"
},
"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": "Glen View ESBC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ruston, LA
- Stacy Winborne
- Kayla Wincko, ATC
- Windsong Natural Therapeutics
- Winn Community Health Center, Inc.
- Winn Community Health Center, Inc.
- Winn Community Health Center, Inc.
- Winn Community Health Center, Inc.
- Winn Community Health Center, Inc.
- Winn Community Health Center, Inc.
- Winn Community Health Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.