NPIMap

Organization Active NPI

Mountain Peoples Health Councils Inc

Doing business as Winfield Medical Center

  • Federally Qualified Health Center (FQHC)
  • Winfield, TN
National Provider Identifier
1366443814
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOUNTAIN PEOPLES HEALTH COUNCILS INC
Doing business as
Winfield Medical Center
Practice address
25677 Scott Hwy
Winfield, TN 37892
Phone
(423) 569-8064
Fax
(423) 569-2461
NPI assigned
Aug 9, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. James C Lovett
Title
Executive Director
Phone
(423) 286-4141

Specialties & licenses 1

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

Addresses

Primary practice location

25677 Scott Hwy
Winfield, TN 37892

Mailing address

470 Industrial LN
Oneida, TN 37841-6294
Phone (423) 286-4141

Other names 1

  • Winfield Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040713001525 TN Part B Supplier - Clinic/Group Practice 7517945678 Receives reassigned benefits from 28 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huntsville, TN; Winfield, TN; Robbins, TN; Oneida, TN
O20100624000190 TN Part A Provider - Federally Qualified Health Center (FQHC) 7517945678 Practice locations: Winfield, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366443814. Details of each certification follow.

Federally qualified health center certification: CCN 441869

Legal name
MOUNTAIN PEOPLES HEALTH COUNCILS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 17, 1995
Last certification
May 17, 1995
Ownership / control type
For profit – individual
Organization structure
CorporationNon-profit
Incorporated
Mar 6, 1974 in TN
Enrollment address
25677 Scott Hwy
Winfield, TN 37892-2293

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
44D0924262Winfield Medical Center25677 Scott Highway, Winfield, TN 37892Provider-performed microscopyJan 23, 2027

National Provider Directory

National Provider Directory

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
Phyllis Strunk Individual Corporate DirectorBoard Member Jan 1, 1995
Allison N Gilbert Individual Corporate DirectorBoard Member May 8, 2015
John Beaty Individual Corporate DirectorBoard Member May 8, 2015
Anna Rose Sexton Individual Corporate DirectorBoard Member Jan 1, 1993
Linda Lay Individual Corporate DirectorBoard Member Jan 1, 1998
Rick Keeton Individual Corporate DirectorBoard Member Jan 1, 2006
James Lovett Individual Corporate DirectorCeo/Exec. Director Dec 5, 2005
W-2 Managing EmployeeCeo/Exec. Director Dec 5, 2005 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366443814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 INDUSTRIAL LN",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416294",
            "telephone_number": "423-286-4141",
            "fax_number": "423-286-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25677 SCOTT HWY",
            "city": "WINFIELD",
            "state": "TN",
            "postal_code": "37892",
            "telephone_number": "423-569-8064",
            "fax_number": "423-569-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PEOPLES HEALTH COUNCILS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOVETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-286-4141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winfield Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winfield, TN

Sources for this page

Verify at the official NPI Registry.