NPIMap

Organization Active NPI

Winton Hills Medical & Health Center

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
National Provider Identifier
1659522092
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
7005 Reading Road
Cincinnati, OH 45237
Phone
(513) 242-1033
Fax
(513) 242-1539
NPI assigned
Oct 3, 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

7005 Reading Road
Cincinnati, OH 45237

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2971306MedicaidOH

Other names 1

  • Woodward Career Technical High School Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090707000127 OH Part A Provider - Federally Qualified Health Center (FQHC) 6507881406 Practice locations: Cincinnati, OH

Federally qualified health center certification: CCN 361949

Legal name
WINTON HILLS MEDICAL & HEALTH CENTER
Doing business as
WOODWARD CAREER TECHNICAL HIGH SCHOOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 31, 2009
Last certification
Jul 31, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 11, 1972 in OH
Enrollment address
7005 Reading Rd
Cincinnati, OH 45237-3802

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 DirectorTreasurer Apr 1, 2009
Janet Shelton Individual Corporate OfficerCno May 8, 1995
W-2 Managing EmployeeCno May 8, 1995
Paula Russell Individual Corporate DirectorSecretary Apr 1, 2009
Miriam Crenshaw Individual Corporate OfficerChief Executive Officer Jan 1, 2008
W-2 Managing EmployeeCeo Jan 1, 2008
Yvette D Casey-Hunter Individual Corporate OfficerCmo Nov 4, 2007
W-2 Managing EmployeeCmo Nov 4, 2007
Ruthetta Tudor Individual W-2 Managing EmployeeRevenue Cycle Manger Apr 1, 2009

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1659522092",
    "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": "7005 READING ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45237",
            "telephone_number": "513-242-1033",
            "fax_number": "513-242-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTON HILLS MEDICAL & HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "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": "2971306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodward Career Technical High School",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Woodward Career Technical High School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.