NPIMap

Organization Active NPI

Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Colfax, LA
National Provider Identifier
1740601418
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WINN COMMUNITY HEALTH CENTER, INC.
Practice address
340 Webb Smith Dr
Colfax, LA 71417-1910
Phone
(318) 648-0375
NPI assigned
Dec 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 1

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

Addresses

Primary practice location

340 Webb Smith Dr
Colfax, LA 71417-1910

Mailing address

340 Webb Smith Dr
Colfax, LA 71417-1910
Phone (318) 648-0375

Other names 1

  • Grant Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090918000491 LA Part B Supplier - Clinic/Group Practice 2567516545 Receives reassigned benefits from 101 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marksville, LA; Winnfield, LA; Ruston, LA; Ringgold, LA; Pollock, LA; Dry Prong, LA; Colfax, LA; Bossier City, LA…
O20140218000186 LA Part A Provider - Federally Qualified Health Center (FQHC) 2567516545 Practice locations: Colfax, LA

Federally qualified health center certification: CCN 191910

Legal name
WINN COMMUNITY HEALTH CENTER, INC.
Doing business as
GRANT COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 24, 2014
Last certification
Feb 24, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 8, 2006 in LA
Enrollment address
340 Webb Smith Dr
Colfax, LA 71417-1910

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Deano Thornton Individual W-2 Managing EmployeeCeo Mar 1, 2009 100%
Glenda Melton Individual Corporate DirectorBoard Member Jan 1, 2015 7.7%
Betty Ashley Individual Corporate DirectorBoard Member Mar 1, 2009 7.7%
Brent Hubbard Individual Corporate DirectorBoard Member Sep 1, 2012 7.7%
Cynthia Jamison Individual Corporate DirectorBoard Member Jan 1, 2015 7.7%
Winn Community Health Center, Inc. Organization, Winnfield, LA Operational/Managerial Control Feb 24, 2014
Charlie Jurek Individual Corporate DirectorBoard Member Mar 1, 2009 7.7%
June Melton Individual Corporate DirectorBoard Member Sep 1, 2009 7.7%
Brenda Jones Individual Corporate DirectorBoard Member Feb 1, 2013 7.7%
Joe Bass Individual Corporate DirectorBoard Member Mar 1, 2009 7.7%
Stanley King Individual Corporate DirectorBoard Member Nov 1, 2009 7.7%
Matthew Walton Individual Corporate DirectorBoard Member Feb 1, 2016

All facility ownership & control disclosures 21

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

FacilityTypeRoleSince
Bienville Community Health CenterRinggold, LA, CCN 191941 Federally qualified health center Operational/Managerial Control Sep 1, 2015
Winn Community Health Center, Inc.Ruston, LA, CCN 191975 Federally qualified health center Operational/Managerial Control Apr 1, 2017
Winn Community Health Center, Inc.Pollock, LA, CCN 191979 Federally qualified health center Operational/Managerial Control Jul 17, 2017
Rapides Academy School Based ClinicAlexandria, LA, CCN 191080 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Cherokee Elementary School Based ClinicAlexandria, LA, CCN 191079 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Tioga Elementary School Based ClinicBall, LA, CCN 191078 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Hayden R Lawrence Upper EsbcDeville, LA, CCN 191085 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Oak Hill High School Based ClinicElmer, LA, CCN 191099 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Forest Hill Jr High School Based ClinicForest Hill, LA, CCN 191106 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Poland Jr. High School Based ClinicAlexandria, LA, CCN 191105 Federally qualified health center Operational/Managerial Control May 25, 2022
Plainview High School Based ClinicGlenmora, LA, CCN 191103 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Ball Elementary School Based ClinicBall, LA, CCN 191102 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Rapides High School Based ClinicLecompte, LA, CCN 191114 Federally qualified health center Operational/Managerial Control Mar 1, 2019
Carter C. Raymond Elementary School Based ClinicLecompte, LA, CCN 191113 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Alma Redwine EsbcAlexandria, LA, CCN 191164 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Paradise EsbcBall, LA, CCN 191171 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Ruby Wise Elementary SBCPineville, LA, CCN 191174 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Mary Goff Elementary SBCPineville, LA, CCN 191172 Federally qualified health center Operational/Managerial Control Mar 1, 2009
South Grant Community Health CenterDry Prong, LA, CCN 191186 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Winnfield Physical TherapyWinnfield, LA, CCN 191199 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Montgomery Community Health CenterMontgomery, LA, CCN 951198 Federally qualified health center Operational/Managerial Control Mar 1, 2009

Facilities with the same owner 21

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 21

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1740601418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WEBB SMITH DR",
            "city": "COLFAX",
            "state": "LA",
            "postal_code": "714171910",
            "telephone_number": "318-648-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WEBB SMITH DR",
            "city": "COLFAX",
            "state": "LA",
            "postal_code": "714171910",
            "telephone_number": "318-648-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2019-06-26",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grant Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colfax, LA

Sources for this page

Verify at the official NPI Registry.