Mountain Peoples Health Councils Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Winfield, TN
NPI 1366443814 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1366443814
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- MOUNTAIN PEOPLES HEALTH COUNCILS INC
- Practice address
- 25677 Scott Hwy
Winfield, TN 37892 - Phone
- (423) 569-8064
- Fax
- (423) 569-2461
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. James C Lovett
- Title
- Executive Director
- Phone
- (423) 286-4141
Owners & managing parties with NPI records 1
-
Allison Noelle Gilbert, P.T. MS
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 5
Practitioners 18
-
Edward W Capparelli, M.D.
-
Aimee Nicole Marlar, APRN
-
Jessica Lynn Sexton, APRN
-
Regina Elizabeth Carson, MSN, RN, APRN, CEN,
-
Leisha Danielle Foster, LMSW
-
Robert Blake Lowe, D.O
-
Sharon Kay Neal, APRN, FNP-BC
-
Brandi Nicole Phillips, APRN
-
Shelby Potter, FNP
-
Brittney Strunk, PA
-
Pamela Jeanne Thompson, M.S.
-
Kelly Ann Walker, NP-C
-
Jackie Wilson-Sharp, FNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0924262 | Winfield Medical Center | Provider-performed microscopy | Jan 23, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
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
- Corporation · Non-profit
- Incorporated
- Mar 6, 1974 in TN
- Enrollment address
- 25677 Scott Hwy
Winfield, TN 37892-2293
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Phyllis Strunk |
Corporate Director |
Jan 1, 1995 | |
| Allison N Gilbert |
Corporate Director |
May 8, 2015 | |
| John Beaty |
Corporate Director |
May 8, 2015 | |
| Anna Rose Sexton |
Corporate Director |
Jan 1, 1993 | |
| Linda Lay |
Corporate Director |
Jan 1, 1998 | |
| Rick Keeton |
Corporate Director |
Jan 1, 2006 | |
| James Lovett |
Corporate Director |
Dec 5, 2005 | |
| W-2 Managing Employee |
Dec 5, 2005 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
25677 Scott Hwy
#191
Winfield, TN 37892
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | TN | Yes |
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
- Winfield Medical Center
Other providers in Winfield, TN
- Carli Shannon Anderson
- God Sent Nursing, LLC
- Tracy Goswick
- Brittney Makaela King
- Jessica Overton
- Shelby Potter
- Nicholas Tyler Steakley
- Christopher Stephens
- Christina Lafferty Tucker
All providers in Winfield, TN · Federally Qualified Health Center (FQHC) in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.