Healthcare Provider Details

I. General information

NPI: 1336085588
Provider Name (Legal Business Name): WINN COMMUNITY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 BEARCAT DR
RUSTON LA
71270-3610
US

IV. Provider business mailing address

PO BOX 1288
WINNFIELD LA
71483-1288
US

V. Phone/Fax

Practice location:
  • Phone: 318-648-0375
  • Fax:
Mailing address:
  • Phone: 318-628-2710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: ANNIE COLEMAN
Title or Position: CREDENTIALING
Credential:
Phone: 318-628-2710