WINN COMMUNITY HEALTH CENTER, INC. (NPI# 1083098610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083098610 |
| Entity Type | Organization |
| Organization Name | WINN COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
2580 Highway 122 Montgomery LA 71454-5540 |
| Mailing Address |
Po Box 1288 Winnfield LA 71483-1288 |
| Practice Telephone | 3186463146 |
| Mailing Telephone | 3186480375 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | DEANO THORNTON (CEO) |
| Authorized Official Telephone | 3186480375 |
| Is Organization Subpart | Y |
| Parent Organization Name | WINN COMMUNITY HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629425 | Winn Community Health Center, Inc. | Clinic/Center | 2200 N Bolton Ave, Alexandria, LA 71303-4407 | 2020-08-11 |
| 1497377337 | Winn Community Health Center, Inc. | Clinic/Center | 1511 Line St, Pineville, LA 71360-5033 | 2020-05-14 |
| 1750903696 | Winn Community Health Center, Inc. | Clinic/Center | 4800 Dawn St, Alexandria, LA 71301-3301 | 2020-05-14 |
| 1134741077 | Winn Community Health Center, Inc. | Clinic/Center | 1319 Bush Ave, Alexandria, LA 71301-5126 | 2020-05-14 |
| 1972125813 | Winn Community Health Center, Inc. | Clinic/Center | 2101 Vance Ave, Alexandria, LA 71301-6059 | 2020-05-14 |
| 1790307635 | Winn Community Health Center, Inc. | Clinic/Center | 3100 Jones Ave, Alexandria, LA 71302-5620 | 2020-05-14 |
| 1578185419 | Winn Community Health Center, Inc. | Clinic/Center | 3111 Jones Ave, Alexandria, LA 71302-5621 | 2020-05-14 |
| 1518589456 | Winn Community Health Center, Inc. | Clinic/Center | 310 Richmond Dr, Alexandria, LA 71302-5121 | 2020-05-14 |
| 1306468244 | Winn Community Health Center, Inc. | Clinic/Center | 5500 England Dr, Alexandria, LA 71303-5124 | 2020-05-14 |
| 1407478340 | Winn Community Health Center, Inc. | Clinic/Center | 4102 Wakefield Blvd, Alexandria, LA 71303-2936 | 2020-05-14 |
| Street Address |
2580 HIGHWAY 122 |
| City | MONTGOMERY |
| State | LA |
| Zip Code | 71454-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902257306 | Tara Sapp | Case Manager/Care Coordinator | 169 Duffy Ln, Montgomery, LA 71454 | 2016-06-27 |
| 1578947701 | Winn Community Health Center, Inc. | Social Worker | 900 Harrison Drive, Montgomery, LA 71454 | 2015-07-17 |
| 1730320946 | Montgomery Clinic LLC | Internal Medicine | 641 Rowena St, Montgomery, LA 71454 | 2009-03-18 |
| 1801877287 | Montgomery Pharmacy LLC | Pharmacy | 1101 Caddo St, Montgomery, LA 71454 | 2005-11-11 |
| 1730429952 | Bjc Healthcare, LLC | Clinic/Center | 641 Rowena St, Montgomery, LA 71454 | 2013-02-25 |
| 1972977486 | Bartley Enterprise Drug Screening | Registered Nurse | 1101 Caddo Street, Montgomery, LA 71454-0271 | 2015-11-20 |
| 1366811697 | Donna Bartley | Registered Nurse | 1101 Caddo Steet, Montgomery, LA 71454-0271 | 2015-09-16 |
| 1730425281 | Benjamin James Colvin | Registered Nurse | 641 Rowena St, Montgomery, LA 71454-6313 | 2013-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356539 | Behavioral Health Alternatives, LLC | Psychologist | 1718 W 2nd St, Montgomery, AL 36106-1502 | 2020-11-05 |
| 1851992143 | Sheri Lynn Brown | Counselor | 11803 Briarwood Ln, Montgomery, TX 77356-5496 | 2020-11-04 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1407455009 | Theresa Denise Steele | Marriage & Family Therapist | 802 E Fairview Ave, Montgomery, AL 36106-1818 | 2020-10-23 |
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1578162376 | Kasey Leigh Byrd | Counselor | 106 Pine Crest Cir, Montgomery, TX 77316-1471 | 2020-10-22 |
| 1861091845 | Alvine M Koumpo | Registered Nurse | 65 Tweddle Farm Ln, Montgomery, NY 12549-2848 | 2020-10-21 |
| 1700485117 | Micah Winn Hines | Speech-Language Pathologist | 9900 Barnsley Ct, Montgomery, OH 45242-6302 | 2020-10-19 |
| 1235738477 | Kimberly Barnes | Home Health | 10612 Harcourt Trce, Montgomery, AL 36117-6073 | 2020-10-19 |
| 1457950727 | Encouraging Words Speech Therapy Services | Speech-Language Pathologist | 3093 Carter Hill Rd, Montgomery, AL 36111-1801 | 2020-10-19 |
| Find all providers in MONTGOMERY | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1942795430 | Richard Yullambo Yenkong | Nurse Practitioner | 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 | 2018-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 71454 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.