Winn Community Health Center, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Pollock, LA. Organization (NPI-2).
NPI number1982132189
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1982132189
- Entity type
- Organization (NPI-2)
- Legal business name
- Winn Community Health Center, INC.
- Organization subpart
- No
- Enumeration date
- Jun 1, 2017
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 122300000X | Dentist | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 207Q00000X | Family Medicine | – | – |
Other names
- East Grant Community Health Center (Doing Business As)
Practice location
9465 Us Hwy 165Pollock, LA 71467
Phone 318-627-5021 · Fax 318-627-5999
Mailing address
Po Box 1288Winnfield, LA 71483-1288
Phone 318-648-0375 · Fax 318-648-6560
Authorized official
Deano Thornton
Ceo
3186480375
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