Muskingum Valley Health Centers
Organization Active NPI Federally Qualified Health Center (FQHC) · Coshocton, OH
NPI 1043972235 · NPPES record last updated Jun 21, 2022
Key facts
- NPI
- 1043972235
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- MUSKINGUM VALLEY HEALTH CENTERS
- Practice address
- 1205 Cambridge Rd Ste 100
Coshocton, OH 43812-2741 - Phone
- (740) 891-9000
- Fax
- (740) 891-9001
- NPI assigned
- Oct 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Daniel Atkinson
- Title
- Ceo
- Phone
- (740) 891-9000
Other NPIs with the same Medicare PAC ID 14
Corporate family (same tax ID) 28
Practitioners 77
-
James Jude Brown, M.D.
-
Lacie J Hoyt, APRN, CNP-FNP
-
Ronald J Kalchik, DO
-
Tiffany Lynne Blaz, RN, MSN, FNP-C
-
Shannon Brown, N.P.
-
Hannah Nicole Bubnar, CNM
-
Terina Anna Carper, FNP
-
Jacob W Caslow, APRN, FNP-C
-
Macey Dodd, APRN
-
Jeffrey D Downing, M.D.
-
Susan Janette Farus-Brown, MSN, FNP-BC, CNP
-
Lauren Elayne Fields, FNP-C
-
Beth Lynn Fineran, CRNP
-
Lucas M Graham, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Federally qualified health center certification: CCN 721948
- Legal name
- MUSKINGUM VALLEY HEALTH CENTERS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 21, 2022
- Last certification
- Feb 21, 2022
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 9, 2007 in OH
- Enrollment address
- 1205 Cambridge Rd
Ste 100
Coshocton, OH 43812-2741
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Rhonda Smith |
Corporate Director |
Mar 19, 2013 | |
| Shelley McPeek |
Corporate Director |
Apr 21, 2015 | |
| Dean Wright |
Corporate Director |
Jan 15, 2013 | |
| Jim Wilson |
Corporate Director |
Nov 17, 2015 | |
| Daniel Atkinson |
Corporate Officer |
Jan 19, 2022 | |
| W-2 Managing Employee |
Jan 19, 2022 | ||
| Operational/Managerial Control |
Jan 19, 2022 | ||
| Stephanie Neuhart |
Corporate Director |
Feb 26, 2019 | |
| Rebecca Carr |
Corporate Officer |
Jan 19, 2022 | |
| W-2 Managing Employee |
Jan 19, 2022 | ||
| Operational/Managerial Control |
Jan 19, 2022 | ||
| Mary Green |
Corporate Director |
May 17, 2016 | |
| Jason Heins |
Corporate Director |
Mar 19, 2013 | |
| Joe Hunt |
Corporate Director |
Feb 26, 2019 | |
| Susan Small |
Corporate Director |
May 21, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220307000605 | OH | Part a Provider - Federally Qualified Health Center (FQHC) | 4789760216 | Practice locations: Coshocton, OH |
National Provider Directory
- Tax ID family
- Muskingum Valley Health Centers
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1205 Cambridge Rd Ste 100
Coshocton, OH 43812-2741
Mailing address
716 Adair Ave
Zanesville, OH 43701-2836
Phone (740) 891-9000
Other providers in Coshocton, OH
- Tina Moran
- Crystal Marie Moyer
- MSW Solutions LLC
- Jason Murphy
- Muscle Menders Wellness Center LTD
- Muskingum Valley Health Centers
- Muskingum Valley Health Centers
- Muskingum Valley Health Centers
- Muskingum Valley Health Centers
- Muskingum Valley Health Centers
All providers in Coshocton, OH · Federally Qualified Health Center (FQHC) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.