NPIMap

Organization Active NPI

Muskingum Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Coshocton, OH
National Provider Identifier
1043972235
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
Last updated
Jun 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Atkinson
Title
Ceo
Phone
(740) 891-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220307000605 OH Part A Provider - Federally Qualified Health Center (FQHC) 4789760216 Practice locations: Coshocton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043972235. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Apr 9, 2007 in OH
Enrollment address
1205 Cambridge Rd
Ste 100
Coshocton, OH 43812-2741

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Muskingum Valley Health Centers32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Ownership & 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.

NameRoleSinceShare
Rhonda Smith Individual Corporate DirectorBoard of Director Mar 19, 2013
Shelley McPeek Individual Corporate DirectorBoard of Director Apr 21, 2015
Dean Wright Individual Corporate DirectorBoard of Director Jan 15, 2013
Jim Wilson Individual Corporate DirectorBoard of Director Nov 17, 2015
Daniel Atkinson Individual Corporate OfficerCeo Jan 19, 2022
W-2 Managing EmployeeCeo Jan 19, 2022
Operational/Managerial ControlCeo Jan 19, 2022
Stephanie Neuhart Individual Corporate DirectorBoard of Director Feb 26, 2019
Rebecca Carr Individual Corporate OfficerCfo Jan 19, 2022
W-2 Managing EmployeeCfo Jan 19, 2022
Operational/Managerial ControlCfo Jan 19, 2022
Mary Green Individual Corporate DirectorBoard of Director May 17, 2016
Jason Heins Individual Corporate DirectorBoard of Director Mar 19, 2013
Joe Hunt Individual Corporate DirectorBoard of Director Feb 26, 2019
Susan Small Individual Corporate DirectorBoard of Director May 21, 2013

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1043972235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 ADAIR AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012836",
            "telephone_number": "740-891-9000",
            "fax_number": "740-891-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 CAMBRIDGE RD STE 100",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122741",
            "telephone_number": "740-891-9000",
            "fax_number": "740-891-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKINGUM VALLEY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-891-9000"
    },
    "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 Coshocton, OH

Sources for this page

Verify at the official NPI Registry.