NPIMap

Organization Active NPI

Primary Care Providers for a Healthy Feliciana, Inc

Doing business as Clinton Middle Health Center

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
National Provider Identifier
1871692483
Registry record updated Nov 1, 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 Middle Health Center
Practice address
10410 Plank Rd
Clinton, LA 70722-3710
Phone
(225) 683-8877
Fax
(225) 683-1349
NPI assigned
Sep 21, 2006
Last updated
Nov 1, 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 Nov 1, 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 NU Primary

Addresses

Primary practice location

10410 Plank Rd
Clinton, LA 70722-3710

Mailing address

PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-8877

Other identifiers 2

IdentifierTypeStateIssuer
191852OtherLAMEDICARE
1450294MedicaidLA

Other names 1

  • Clinton Middle 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
O20040224000173 LA Part B Supplier - Clinic/Group Practice 1052220985 Receives reassigned benefits from 99 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Springfield, LA; Slaughter, LA; Port Allen, LA; Jackson, LA; Loranger, LA; Clinton, LA; Baton Rouge, LA; Livingston, LA
O20070509000390 LA 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 1871692483. Details of each certification follow.

Federally qualified health center certification: CCN 191852

Legal name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
Doing business as
CLINTON MIDDLE HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 9, 2007
Last certification
Jul 9, 2007
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2008 in LA
Enrollment address
10410 Plank Rd
Clinton, LA 70722-3710

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
Primary Care Providers for a Healthy Feliciana Inc72 organizations share this tax ID, including this one
Part of
Primary Care Providers for a Healthy Feliciana Inc

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Donna Wild Individual Corporate OfficerBoard Member Oct 30, 2014
Richard C Holton Individual Corporate OfficerBoard Member Oct 25, 2007
Alfreda D Jackson Individual Corporate OfficerBoard Member Sep 29, 2019
Veronica D Easterly Individual Corporate OfficerBoard Members Sep 30, 2010
Kenny Sanders Individual Corporate OfficerBoard Member Sep 22, 2011
Ginger a Hunt Individual Corporate DirectorCeo Aug 6, 1998 100%
Operational/Managerial ControlCeo Aug 6, 1998
Christi C Hunt Individual Corporate DirectorDeputy Director Aug 1, 2019
Operational/Managerial ControlDeputy Director Aug 1, 2019
Virdie Moeller Individual Corporate OfficerBoard Member Mar 28, 2013
Nicole C Wilcher Individual Corporate OfficerBoard Member Mar 28, 2013
Louis J Kent Individual Corporate OfficerBoard Member Aug 6, 1998
Columbus Hutchinson Individual Corporate OfficerBoard Member Mar 29, 2018
Anita P Cambre Individual Corporate OfficerBoard Member Oct 25, 2007
Mark Kemp Individual Corporate OfficerBoard Member Mar 28, 2013

Practitioners & affiliated clinicians

Practitioners 65

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 65

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1871692483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707220395",
            "telephone_number": "225-683-8877",
            "fax_number": "225-683-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 PLANK RD",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707223710",
            "telephone_number": "225-683-8877",
            "fax_number": "225-683-1349"
        }
    ],
    "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": "2006-09-21",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "191852",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1450294",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Middle Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinton Middle Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, LA

Sources for this page

Verify at the official NPI Registry.