NPIMap

Organization Active NPI

Primary Care Providers for a Healthy Feliciana, Inc.

Doing business as Clinton Lower Health Center

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
National Provider Identifier
1821245127
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC.
Doing business as
Clinton Lower Health Center
Practice address
10701 Reiley Street
Clinton, LA 70722-3210
Phone
(225) 683-1350
Fax
(225) 683-1359
NPI assigned
Aug 19, 2008
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ginger A Hunt, FPNP-CNPI 1245233964
Title
Ceo
Phone
(225) 683-5292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

10701 Reiley Street
Clinton, LA 70722-3210

Mailing address

P.O. Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292

Other names 1

  • Clinton Lower Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040224000173 LA Part B Supplier - Clinic/Group Practice 1052220985 Receives reassigned benefits from 99 practitioners
11 other NPIs on this enrollment
Practice locations: Springfield, LA; Slaughter, LA; Port Allen, LA; Jackson, LA; Loranger, LA; Clinton, LA; Baton Rouge, LA; Livingston, LA
O20091008000676 MS Part A Provider - Federally Qualified Health Center (FQHC) 1052220985 Practice locations: Clinton, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821245127. Details of each certification follow.

Federally qualified health center certification: CCN 191872

Legal name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
Doing business as
CLINTON LOWER HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 13, 2009
Last certification
Oct 13, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 6, 1998 in LA
Enrollment address
10701 Reiley St
Clinton, LA 70722-0395

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Tax ID family
RKM Primary72 organizations share this tax ID, including this one
Part of
RKM Primary

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

Locations

10410 Plank Rd
Clinton, LA 70722
Phone (225) 683-8877

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
Richard C Holton Individual Corporate DirectorBoard Member Oct 25, 2007
Alfreda D Jackson Individual Corporate DirectorBoard Member Sep 29, 2009
Veronica D Easterly Individual Corporate DirectorBoard Member Sep 30, 2010
Kenny Sanders Individual Corporate DirectorBoard Member Sep 22, 2011
Christi C Hunt Individual Corporate OfficerCeo Oct 17, 2020
W-2 Managing EmployeeCeo Oct 17, 2020
Operational/Managerial ControlCeo Oct 17, 2020
Virdie Moeller Individual Corporate DirectorBoard Member Mar 28, 2013
Nicole C Wilcher Individual Corporate DirectorBoard Member Mar 28, 2013
Wayne Birt Individual Corporate DirectorBoard Member Aug 30, 2020
Louis J Kent Individual Corporate DirectorBoard Member Aug 6, 1998
Columbus Hutchinson Individual Corporate DirectorBoard Member Mar 29, 2018
Anita P Cambre Individual Corporate DirectorBoard Member Oct 25, 2007
Mark Kemp Individual Corporate DirectorBoard Member Mar 28, 2013

Practitioners & affiliated clinicians

Practitioners 104

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.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1821245127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 395",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707220395",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 REILEY STREET",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707223210",
            "telephone_number": "225-683-1350",
            "fax_number": "225-683-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-683-5292",
        "authorized_official_credential": "FPNP-C"
    },
    "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": "Clinton Lower Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinton Lower Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, LA

Sources for this page

Verify at the official NPI Registry.