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

Phoenix Magnet Elementary School Based Clinic

Practice address

4500 Lincoln Rd
Alexandria, LA 71302-3617

Phone

(318) 648-0375

NPI assigned

May 24, 2021

Last updated

May 24, 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

David Adams

Title

Coo

Phone

(318) 648-0375

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Magnet 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 1730754680. Details of each certification follow.

• CCN 191075 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 191075

Legal name

WINN COMMUNITY HEALTH CENTER, INC.

Doing business as

PHOENIX MAGNET 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

4500 Lincoln Rd
Alexandria, LA 71302-3617

Tax ID family

Winn Community Health Center65 organizations share this tax ID, including this one

Part of

Winn Community Health Center

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 Plainview High School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Glenmora, LA
  • NPI 1558003269
  NPD tax ID
• Winn Community Health Center, Inc.

  dba Mabel Brasher Elementary School

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1558925339
  NPD tax ID
• Winn Community Health Center, Inc.

  dba Rapides High School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Lecompte, LA
  • NPI 1568106201
  NPD tax ID
• Winn Community Health Center, Inc.

  dba Pharmacy Services of Winnfield

  • Community/Retail Pharmacy
  • Winnfield, LA
  • NPI 1578300224
  NPD tax ID
• Winn Community Health Center, Inc.

  • Family Nurse Practitioner
  • Dry Prong, LA
  • NPI 1578947107
  NPD tax ID
• Winn Community Health Center, Inc.

  dba J.I. Barron Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Pineville, LA
  • NPI 1619597143
  NPD tax ID
• Winn Community Health Center, Inc.

  dba Huddle Elementary School-Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1639691223
  NPD tax ID
• Winn Community Health Center, Inc.

  dba East Grant Community Health Center Pharmacy

  • Community/Retail Pharmacy
  • Pollock, LA
  • NPI 1639879661
  NPD tax ID
• Winn Community Health Center, Inc.

  dba Avoyelles Community Health Center Pharmacy

  • Community/Retail Pharmacy
  • Marksville, LA
  • NPI 1639908270
  NPD tax ID
• Winn Community Health Center, Inc.

  dba Ball Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Ball, LA
  • NPI 1679218341
  NPD tax ID
• Winn Community Health Center, Inc.

  dba Winnfield Senior High School-Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Winnfield, LA
  • NPI 1689154387
  NPD tax ID
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dubach, LA
  • NPI 1689510836
  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.

Practitioners 1

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.

• 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": "1730754680",
    "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": "4500 LINCOLN RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023617",
            "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": "Phoenix Magnet Elementary School Based Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winn Community Health Center, Inc. (J.B. Nachman 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. (Scott M. Brame Middle School Based Clinic)
• Winn Community Health Center, Inc. (Mabel Brasher Elementary School Based Clinic)
• Winn Community Health Center, Inc. (Arthur F. Smith Middle Magnet School Based Clinic)
• Winn Community Health Center, Inc. (Cherokee Elementary School Based Clinic)
• Winn Community Health Center, Inc. (Peabody 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 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.