NPIMap

Organization Active NPI

Winton Hills Medical & Health Center

Doing business as St. Bernard Elementary

  • Federally Qualified Health Center (FQHC)
  • Saint Bernard, OH
National Provider Identifier
1376712810
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WINTON HILLS MEDICAL & HEALTH CENTER
Doing business as
St. Bernard Elementary
Practice address
4515 Tower Ave
Saint Bernard, OH 45217-1723
Phone
(513) 242-1033
Fax
(513) 242-1539
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Miriam Crenshaw
Title
Ceo
Phone
(513) 242-1033

Specialties & licenses 1

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

Addresses

Primary practice location

4515 Tower Ave
Saint Bernard, OH 45217-1723

Mailing address

5275 Winneste Ave
Cincinnati, OH 45232-1130
Phone (513) 242-1033

Other identifiers 1

IdentifierTypeStateIssuer
2856977MedicaidOH

Other names 1

  • St. Bernard Elementary Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080320000643 OH Part A Provider - Federally Qualified Health Center (FQHC) 6507881406 Practice locations: Saint Bernard, OH

Federally qualified health center certification: CCN 361935

Legal name
WINTON HILLS MEDICAL & HEALTH CENTER
Doing business as
ST. BERNARD ELEMENTARY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 27, 2008
Last certification
Aug 27, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 11, 1972 in OH
Enrollment address
4515 Tower Ave
Saint Bernard, OH 45217-1723
Related CCNs
361845

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Bond Hill Academy12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Sharon Monroe Individual Corporate OfficerTreasurer Jan 1, 2008
Janet Shelton Individual Corporate OfficerCno May 8, 1995
W-2 Managing EmployeeCno May 8, 1995
Paula Russell Individual Corporate OfficerSecretary Jan 1, 2008
Miriam Crenshaw Individual Corporate OfficerChief Executive Officer Jan 1, 2008
W-2 Managing EmployeeChief Executive Officer Jan 1, 2008
Yvette D Casey-Hunter Individual Corporate OfficerCmo Nov 4, 2007
W-2 Managing EmployeeCmo Nov 4, 2007
Ruthetta Tudor Individual Corporate OfficerCoo Jan 1, 2008
W-2 Managing EmployeeCoo Jan 1, 2008

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1376712810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321130",
            "telephone_number": "513-242-1033",
            "fax_number": "513-242-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 TOWER AVE",
            "city": "SAINT BERNARD",
            "state": "OH",
            "postal_code": "452171723",
            "telephone_number": "513-242-1033",
            "fax_number": "513-242-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTON HILLS MEDICAL & HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-242-1033"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2856977",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Bernard Elementary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Bernard Elementary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Bernard, OH

Sources for this page

Verify at the official NPI Registry.