Provider Demographics
NPI:1205833241
Name:CLHG-WINN, LLC
Entity Type:Organization
Organization Name:CLHG-WINN, LLC
Other - Org Name:WINN PARISH MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-224-3589
Mailing Address - Street 1:P.O. BOX 152
Mailing Address - Street 2:301 WEST BOUNDARY AVE.
Mailing Address - City:WINNFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:71483-3427
Mailing Address - Country:US
Mailing Address - Phone:318-648-3000
Mailing Address - Fax:318-628-3290
Practice Address - Street 1:301 W BOUNDARY AVE
Practice Address - Street 2:
Practice Address - City:WINNFIELD
Practice Address - State:LA
Practice Address - Zip Code:71483-3427
Practice Address - Country:US
Practice Address - Phone:318-648-3000
Practice Address - Fax:318-648-3290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1730246Medicaid
190090Medicare Oscar/Certification