Winton Hills Medical and Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WINTON HILLS MEDICAL AND HEALTH CENTER, INC.

Doing business as

St. Bernard-Elmwood Place School Based Health Center

Practice address

407 Oak Street
Elmwood, OH 45219-2504

Phone

(513) 242-1033

Fax

(513) 242-1539

NPI assigned

Feb 28, 2008

Last updated

Jul 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam CrenshawNPI 1871634410

Title

Ceo

Phone

(513) 242-1033

Specialties & licenses 1

Addresses

Other names 1

• St. Bernard-Elmwood Place School Based Health Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851560346. Details of each certification follow.

• CCN 361937 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 361937

Legal name

ST BERNARD ELMWOOD PLACE SCHOOL BASED HEALTH CTR

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 27, 2008

Last certification

Aug 27, 2008

Ownership / control type

For profit – corporation

Facility address

407 Oak Street
Cincinnati, OH 45219

Related CCNs

361845

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.

• Miriam Crenshaw, LISW

  • Social Worker
  • Cincinnati, OH
  • NPI 1871634410
  Authorized official Same address or phone

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1851560346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321130",
            "telephone_number": "513-242-1033",
            "fax_number": "513-244-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 OAK STREET",
            "city": "ELMWOOD",
            "state": "OH",
            "postal_code": "452192504",
            "telephone_number": "513-242-1033",
            "fax_number": "513-242-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTON HILLS MEDICAL AND HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-242-1033"
    },
    "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": "St. Bernard-Elmwood Place School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Bernard-Elmwood Place School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winton Hills Medical and Health Center (St. Bernard-Elmwood Place School Based Health Center)

• Federally Qualified Health Center (FQHC) in Elmwood, OH
• Providers in Elmwood, OH by specialty
• Federally Qualified Health Center (FQHC) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.