Winn Community Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WINN COMMUNITY HEALTH CENTER, INC.

Doing business as

J.B. Nachman Elementary School Based Clinic

Practice address

4102 Wakefield Blvd
Alexandria, LA 71303-2936

Phone

(318) 648-0375

NPI assigned

May 14, 2020

Last updated

Dec 6, 2024By the provider in NPPES

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

• J.B. Nachman Elementary School Based Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407478340. Details of each certification follow.

• CCN 191044 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 191044

Legal name

WINN COMMUNITY HEALTH CENTER, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 14, 2020

Last certification

Jul 14, 2020

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 1, 2020 in LA

Enrollment address

4101 Wakefield Blvd
Alexandria, LA 71303-2936

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.

  dba Alexandria Senior High School Based Clinic

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

  dba Paradise Elementary School Based Clinic

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

  dba Rapides Academy School Based Clinic

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

  dba Peabody Montessori Elementary School Based Clinic

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

  dba Winn Community Dental Center

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

  dba Ruston High SBC

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

  dba Martin Park Elementary School Based Clinic

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

  dba Winnfield Physical Therapy

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

  dba Bossier Community Health Center Pharmacy

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

  dba Alexandria Middle Magnet School-Based Clinic

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

  dba Horseshoe Drive Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1396310256
  NPD tax ID
• Winn Community Health Center, Inc.

  dba Forest Hill Junior High School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Forest Hill, LA
  • NPI 1396480067
  NPD tax ID

Locations

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.

All facility ownership & control disclosures 22

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

Practitioners 2

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.

• 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": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1407478340",
    "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": "318-209-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 WAKEFIELD BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032936",
            "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": "2020-05-14",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J.B. Nachman Elementary School Based Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "J.B. Nachman Elementary School Based Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winn Community Health Center, Inc. (Peabody Montessori Elementary School Based Clinic)
• Winn Community Health Center, Inc. (North Bayou Elementary School Based Clinic)
• Winn Community Health Center, Inc. (Martin Park Elementary School Based Clinic)
• Winn Community Health Center, Inc. (Alexandria Middle Magnet School-Based Clinic)
• Winn Community Health Center, Inc. (Horseshoe Drive Elementary School Based Clinic)
• Winn Community Health Center, Inc. (Acadian Elementary School Based Clinic)
• Winn Community Health Center, Inc. (Mabel Brasher Elementary School)
• Winn Community Health Center, Inc. (W.O. Hall Elementary School Based Clinic)
• Winn Community Health Center, Inc. (Huddle Elementary School-Based Clinic)
• Winn Community Health Center, Inc. (Phoenix Magnet Elementary School Based Clinic)

• Federally Qualified Health Center (FQHC) in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Federally Qualified Health Center (FQHC) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.