NPIMap

Organization Active NPI

Winn Community Health Center, Inc.

Doing business as East Grant Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Pollock, LA
National Provider Identifier
1982132189
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WINN COMMUNITY HEALTH CENTER, INC.
Doing business as
East Grant Community Health Center
Practice address
9465 US Hwy 165
Pollock, LA 71467
Phone
(318) 627-5021
Fax
(318) 627-5999
NPI assigned
Jun 1, 2017
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

9465 US Hwy 165
Pollock, LA 71467

Mailing address

PO Box 1288
Winnfield, LA 71483-1288
Phone (318) 648-0375

Other names 1

  • East Grant Community 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
O20090918000491 LA Part B Supplier - Clinic/Group Practice 2567516545 Receives reassigned benefits from 101 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marksville, LA; Winnfield, LA; Ruston, LA; Ringgold, LA; Pollock, LA; Dry Prong, LA; Colfax, LA; Bossier City, LA…
O20170928000094 LA Part A Provider - Federally Qualified Health Center (FQHC) 2567516545 Practice locations: Pollock, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982132189. Details of each certification follow.

Federally qualified health center certification: CCN 191979

Legal name
WINN COMMUNITY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 21, 2017
Last certification
Sep 21, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 8, 2006 in LA
Enrollment address
9465 Highway 165
Pollock, LA 71467-3511

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Tax ID family
Winn Comm HLTH Ctr Inc65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

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

View all 13

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
Deano Thornton Individual Corporate Director Mar 1, 2009
W-2 Managing Employee Mar 1, 2009
Glenda Melton Individual Corporate DirectorBoard Member Jan 1, 2015
Betty Ashley Individual Corporate DirectorBoard Member Mar 1, 2009
Brent Hubbard Individual Corporate DirectorBoard Member Sep 1, 2012
Cynthia Jamison Individual Corporate DirectorBoard Member Jan 1, 2015
Winn Community Health Center, Inc. Organization, Winnfield, LA Corporation Operational/Managerial Control Jul 17, 2017
Charlie Jurek Individual Corporate Director Jul 1, 2009
June Melton Individual Corporate DirectorBoard Member Jul 1, 2009
Brenda Jones Individual Corporate DirectorBoard Member Feb 1, 2013
Joe Bass Individual Corporate DirectorBoard Member Jul 1, 2009
Stanley King Individual Corporate DirectorBoard Member Jul 1, 2009
Matthew Walton Individual Corporate DirectorBoard Member Feb 1, 2016

All facility ownership & control disclosures 21

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grant Community Health CenterColfax, LA, CCN 191910 Federally qualified health center Operational/Managerial Control Feb 24, 2014
Bienville Community Health CenterRinggold, LA, CCN 191941 Federally qualified health center Operational/Managerial Control Sep 1, 2015
Winn Community Health Center, Inc.Ruston, LA, CCN 191975 Federally qualified health center Operational/Managerial Control Apr 1, 2017
Rapides Academy School Based ClinicAlexandria, LA, CCN 191080 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Cherokee Elementary School Based ClinicAlexandria, LA, CCN 191079 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Tioga Elementary School Based ClinicBall, LA, CCN 191078 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Hayden R Lawrence Upper EsbcDeville, LA, CCN 191085 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Oak Hill High School Based ClinicElmer, LA, CCN 191099 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Forest Hill Jr High School Based ClinicForest Hill, LA, CCN 191106 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Poland Jr. High School Based ClinicAlexandria, LA, CCN 191105 Federally qualified health center Operational/Managerial Control May 25, 2022
Plainview High School Based ClinicGlenmora, LA, CCN 191103 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Ball Elementary School Based ClinicBall, LA, CCN 191102 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Rapides High School Based ClinicLecompte, LA, CCN 191114 Federally qualified health center Operational/Managerial Control Mar 1, 2019
Carter C. Raymond Elementary School Based ClinicLecompte, LA, CCN 191113 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Alma Redwine EsbcAlexandria, LA, CCN 191164 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Paradise EsbcBall, LA, CCN 191171 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Ruby Wise Elementary SBCPineville, LA, CCN 191174 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Mary Goff Elementary SBCPineville, LA, CCN 191172 Federally qualified health center Operational/Managerial Control Mar 1, 2009
South Grant Community Health CenterDry Prong, LA, CCN 191186 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Winnfield Physical TherapyWinnfield, LA, CCN 191199 Federally qualified health center Operational/Managerial Control Mar 1, 2009
Montgomery Community Health CenterMontgomery, LA, CCN 951198 Federally qualified health center Operational/Managerial Control Mar 1, 2009

Facilities with the same owner 21

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 21

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1982132189",
    "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": "318-648-0375",
            "fax_number": "318-648-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9465 US HWY 165",
            "city": "POLLOCK",
            "state": "LA",
            "postal_code": "71467",
            "telephone_number": "318-627-5021",
            "fax_number": "318-627-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "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": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Grant Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Grant Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pollock, LA

Sources for this page

Verify at the official NPI Registry.