Winn Community Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WINN COMMUNITY HEALTH CENTER, INC.

Practice address

2905 Horseshoe Dr
Alexandria, LA 71301-2518

Phone

(318) 648-0375

NPI assigned

May 24, 2021

Organization subpart

Yes

Parent organization

WINN COMMUNITY HEALTH CENTER, INC.As reported in NPPES

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

Addresses

Other names 1

• Horseshoe Drive Elementary School Based Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Federally qualified health center certification: CCN 191073

Legal name

WINN COMMUNITY HEALTH CENTER, INC.

Doing business as

HORSESHOE DRIVE ELEMENTARY SCHOOL BASED CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 7, 2021

Last certification

Jul 7, 2021

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

2905 Horseshoe Dr
Alexandria, LA 71301-2518

Tax ID family

Winn Comm HLTH Ctr Inc65 organizations share this tax ID, including this one

Part of

Winn Comm HLTH Ctr Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1134741077
  NPD tax ID
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1225726045
  NPD tax ID
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1245852318
  NPD tax ID
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ball, LA
  • NPI 1245928050
  NPD tax ID
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1275108136
  NPD tax ID
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1285498089
  NPD tax ID
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winnfield, LA
  • NPI 1295175750
  NPD tax ID
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1336085588
  NPD tax ID
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1366017220
  NPD tax ID
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winnfield, LA
  • NPI 1386482461
  NPD tax ID
• Winn Community Health Center, Inc.

  • Pharmacy
  • Bossier City, LA
  • NPI 1386580298
  NPD tax ID
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1396267068
  NPD tax ID

Locations

All disclosed owners & managing parties 12

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

All facility ownership & control disclosures 22

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara Dianne McAdams, NP-C

  • Primary Care Nurse Practitioner
  • Farmerville, LA
  • NPI 1548870439
  NPD (past)
• Mallorie McDowell Parham, PA-C

  • Physician Assistant
  • Pineville, LA
  • NPI 1225685886
  NPD (past)

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1396310256",
    "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": "2905 HORSESHOE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012518",
            "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": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-12",
        "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": "Horseshoe Drive Elementary School Based Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• Winn Community Health Center, Inc.
• Winn Community Health Center, Inc.
• Winn Community Health Center, Inc.

• All providers in Alexandria, LA
• Federally Qualified Health Center (FQHC) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.

Verify at the official NPI Registry.