Active NPI
Hopewell Health Centers Inc
- Federally Qualified Health Center (FQHC)
- Pomeroy, OH
National Provider Identifier
1003329202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- HOPEWELL HEALTH CENTERS INC
- Practice address
- 112 E Memorial Dr
Pomeroy, OH 45769-9569 - Phone
- (740) 992-2192
- Fax
- (740) 992-4018
- NPI assigned
- Nov 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony Ritter
- Title
- Credentialing Specialist
- Phone
- (740) 773-4366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
112 E Memorial Dr
Pomeroy, OH 45769-9569
Mailing address
1049 Western Ave
Chillicothe, OH 45601-1104
Phone (740) 773-4366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180806000054 | OH | Part A Provider - Federally Qualified Health Center (FQHC) | 9234049990 | Practice locations: Pomeroy, OH |
Federally qualified health center certification: CCN 361179
- Legal name
- HOPEWELL HEALTH CENTERS, INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 6, 2018
- Last certification
- Aug 6, 2018
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Dec 2, 1985 in OH
- Enrollment address
- 112 E Memorial Dr
Pomeroy, OH 45769-9569
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Holt-Hill | Corporate Director | Dec 14, 2017 | |
| Mark a. Bridenbaugh | 5% Or Greater Direct Ownership Interest | Nov 1, 2000 | 100% |
| Corporate Officer | Nov 1, 2000 | ||
| W-2 Managing Employee | Nov 1, 2000 | ||
| Donald Poole | Corporate Director | Feb 11, 2011 | |
| Gregory Ervin | Corporate Director | Dec 14, 2017 | |
| John Means | Corporate Director | Feb 14, 2014 | |
| Martha Murphy | Corporate Director | Nov 15, 2015 | |
| Peter W Howison | Corporate Director | Apr 1, 2018 | |
| Kathryn Cecil | Corporate Director | Mar 1, 2004 | |
| Thomas R. McGuire | Corporate Director | Aug 1, 1999 | |
| Amy Jo Newlun | Corporate Director | Oct 27, 2016 | |
| Jonnetta Gadson | Corporate Director | Apr 28, 2022 |
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hopewell Health Centers, Inc. | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 9, 2013 |
| Hopewell Health Centers, Inc. | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 9, 2013 |
| Hopewell Health Centers, Inc. | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 9, 2013 |
| Hopewell Health Centers Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 9, 2013 |
| Hopewell Health Centers, Inc. | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 9, 2013 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510185600000",
"number": "1003329202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 WESTERN AVE",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456011104",
"telephone_number": "740-773-4366",
"fax_number": "740-775-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E MEMORIAL DR",
"city": "POMEROY",
"state": "OH",
"postal_code": "457699569",
"telephone_number": "740-992-2192",
"fax_number": "740-992-4018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPEWELL HEALTH CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-09",
"last_updated": "2017-11-09",
"status": "A",
"authorized_official_last_name": "RITTER",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "740-773-4366"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomeroy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.