| Winn Community Health Center, Inc. | |
|
10935 Highway 112 Glenmora LA 71433-6235 | |
| (318) 648-0375 | |
| Not Available |
| Full Name | Winn Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10935 Highway 112, Glenmora, Louisiana |
| Authorized Official Name and Position | David Adams (COO) |
| Authorized Official Contact | 3186480375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winn Community Health Center, Inc. Po Box 1288 Winnfield LA 71483-1288 Ph: (318) 209-4501 | Winn Community Health Center, Inc. 10935 Highway 112 Glenmora LA 71433-6235 Ph: (318) 648-0375 |
| NPI Number | 1558003269 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 04/12/2022 |
| Medicare PECOS PAC ID | 2567516545 |
|---|---|
| Medicare Enrollment ID | O20220726002240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558003269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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