NPIMap

Winn Community Health Center, Inc.

Organization Active NPI Family Medicine Physician · Alexandria, LA

NPI 1770147597 · NPPES record last updated Jun 26, 2019

Key facts

NPI
1770147597
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
WINN COMMUNITY HEALTH CENTER, INC.
Practice address
601 Cloverleaf Blvd
Alexandria, LA 71303-3808
Phone
(318) 442-0878
Fax
(318) 648-0378
NPI assigned
Apr 26, 2019
Organization subpart
Yes
Parent organization (as reported)
WINN COMMUNITY HEALTH CENTER, INC.

Authorized official

Name
Deano Thornton
Title
Ceo
Phone
(318) 648-0375

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Winn Comm HLTH Ctr Inc (65 organizations share this tax ID)
Part of
Winn Comm HLTH Ctr Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

601 Cloverleaf Blvd
Alexandria, LA 71303-3808

Mailing address

PO Box 1288
Winnfield, LA 71483-1288
Phone (318) 209-4510

Other names

  • Mabel Brasher Elementary School Based Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2019.

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1770147597",
    "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",
            "fax_number": "318-648-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLOVERLEAF BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033808",
            "telephone_number": "318-442-0878",
            "fax_number": "318-648-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINN COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2019-04-26",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mabel Brasher Elementary School Based Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mabel Brasher Elementary School Based Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

All providers in Alexandria, LA · Family Medicine Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.