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

403 W South Ave
Winnfield, LA 71483-3423

Phone

(318) 648-0375

NPI assigned

Aug 12, 2013

Last updated

May 5, 2021By 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

Deano Thornton

Title

Ceo

Phone

(318) 648-0375

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659704880. Details of each certification follow.

• CCN 191060 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 191060

Legal name

WINN COMMUNITY HEALTH CENTER, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 13, 2021

Last certification

Apr 13, 2021

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 1, 2020 in LA

Enrollment address

403 W South Ave
Winnfield, LA 71483-3423

Part of

Winn Community Health Center

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.

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.

• Candace R Hubbard, NP

  • Family Nurse Practitioner
  • Winnfield, LA
  • NPI 1942634803
  NPD (past)
• Kristin V Williams, NP

  • Nurse Practitioner
  • Alexandria, LA
  • NPI 1922389006
  NPD (past)

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1659704880",
    "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": "318-209-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W SOUTH AVE",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833423",
            "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": "2013-08-12",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "DEANO",
        "authorized_official_title_or_position": "CEO",
        "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
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winn Community Health Center
• Winn Community Health Center, Inc.
• Winn Community Health Center, Inc. (Winn Community Dental Center)
• Winn Community Health Center, Inc. (Winnfield Physical Therapy)
• Winn Community Health Center, Inc. (Pharmacy Services of Winnfield)
• Winn Community Health Center, Inc. (Winnfield Senior High School-Based Clinic)
• Winn Community Health Center, Inc. (Winn Community Health Center Pharmacy)
• Winn Council of the Aged, Inc.
• Winn Emergency Group LLC
• Winn Family Medicine LLC

• Federally Qualified Health Center (FQHC) in Winnfield, LA
• Providers in Winnfield, 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 May 5, 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.