NPIMap

Organization Active NPI

Winton Hills Medical & Health Center

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
National Provider Identifier
1437119617
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
Practice address
5275 Winneste Ave
Cincinnati, OH 45232-1130
Phone
(513) 242-1033
Fax
(513) 242-1539
NPI assigned
Mar 23, 2006
Last updated
Sep 6, 2022By the provider in NPPES
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 CrenshawNPI 1871634410
Title
Ceo
Phone
(513) 242-1033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

5275 Winneste Ave
Cincinnati, OH 45232-1130

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0836680MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130821000956 OH Part A Provider - Federally Qualified Health Center (FQHC) 6507881406 Practice locations: Cincinnati, OH
O20160317002221 OH Part B Supplier - Clinic/Group Practice 6507881406 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437119617. Details of each certification follow.

Federally qualified health center certification: CCN 361845

Legal name
WINTON HILLS MEDICAL & HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 1992
Last certification
Jan 1, 1992
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 8, 1972 in OH
Enrollment address
5275 Winneste Ave
Cincinnati, OH 45232-1130

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).

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

407 Oak St
Cincinnati, OH 45219
Phone (513) 242-1033

400 Maple St
Elmwood Place, OH 45216
Phone (513) 242-1033

4515 Tower Ave
Saint Bernard, OH 45217
Phone (513) 242-1033

Ownership & related parties

All disclosed owners & managing parties 9

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 of Board Jul 18, 2013
Arletha Johnson Individual Corporate DirectorSecretary Jun 1, 2017
Pamlea Jones Individual Corporate DirectorBoard Member Jan 1, 2021
Miriam Crenshaw Individual Corporate OfficerCeo Jun 4, 2009
W-2 Managing EmployeeCeo, Board Member Aug 28, 2013
Rita Sturwold Individual Corporate DirectorBoard Member Sep 1, 2020
Ruthetta Tudor Individual Corporate DirectorBusiness Manager Apr 1, 2009
W-2 Managing EmployeeBusiness Manager, Delegated Off. Aug 28, 2013
Teresa Shinkle Individual Corporate DirectorCfo Aug 25, 2022
Tonya Byrd Individual Corporate DirectorBoard Member Jan 1, 2012
Willrudale Underwood Individual Corporate DirectorBoard Member Jan 1, 2002

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1437119617",
    "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": "5275 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321130",
            "telephone_number": "513-242-1033",
            "fax_number": "513-242-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTON HILLS MEDICAL & HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0836680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.