NPIMap

Organization Active NPI

Winn Community Health Center, Inc.

Doing business as Mabel Brasher Elementary School Based Clinic

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1770147597
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WINN COMMUNITY HEALTH CENTER, INC.
Doing business as
Mabel Brasher Elementary School Based Clinic
Practice address
601 Cloverleaf Blvd
Alexandria, LA 71303-3808
Phone
(318) 442-0878
Fax
(318) 648-0378
NPI assigned
Apr 26, 2019
Last updated
Jun 26, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
WINN COMMUNITY HEALTH CENTER, INC.As reported in NPPES

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

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 1

  • Mabel Brasher Elementary School Based Clinic Doing business as

National Provider Directory

National Provider Directory
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.

View all 24

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.