NPIMap

Organization Active NPI

Hopewell Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Racine, OH
National Provider Identifier
1083388839
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOPEWELL HEALTH CENTERS, INC.
Practice address
106 Tyree Blvd
Racine, OH 45771-5008
Phone
(740) 444-5247
Fax
(740) 444-5249
NPI assigned
Aug 5, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Mark Bridenbaugh
Title
Ceo
Phone
(740) 773-4366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

106 Tyree Blvd
Racine, OH 45771-5008

Mailing address

PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110209000712 OH Part B Supplier - Clinic/Group Practice 9234049990 Receives reassigned benefits from 216 practitioners
36 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marietta, OH; MC Arthur, OH; Nelsonville, OH; New Lexington, OH; Pomeroy, OH; Racine, OH; Reedsville, OH; Reynoldsburg, OH…
O20211203002057 OH Part A Provider - Federally Qualified Health Center (FQHC) 9234049990 Practice locations: Racine, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083388839. Details of each certification follow.

Federally qualified health center certification: CCN 721930

Legal name
HOPEWELL HEALTH CENTERS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 3, 2021
Last certification
Dec 3, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1985 in OH
Enrollment address
106 Tyree Blvd
Racine, OH 45771-5008

Other NPIs on the same Medicare enrollment 34

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 34

National Provider Directory

National Provider Directory
Tax ID family
Hopewell Health Centers Inc72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

8461 State Route 144
Stewart, OH 45778
Phone (740) 662-0541

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Holt-Hill Individual Corporate DirectorBoard Member Dec 14, 2017
Mark a. Bridenbaugh Individual Corporate OfficerCeo Nov 1, 2000
W-2 Managing EmployeeCeo Nov 1, 2000
Donald Poole Individual Corporate DirectorBoard Vice President Feb 11, 2011
Gregory Ervin Individual Corporate DirectorBoard Secretary Dec 14, 2017
John Means Individual Corporate DirectorBoard Treasurer Feb 14, 2014
Martha Murphy Individual Corporate DirectorBoard Member Nov 15, 2015
Peter W Howison Individual Corporate DirectorBoard Member Apr 1, 2018
Kathryn Cecil Individual Corporate DirectorBoard President Mar 1, 2004
Thomas R. McGuire Individual Corporate DirectorBoard Member Aug 1, 1999
Amy Jo Newlun Individual Corporate DirectorBoard Member Oct 27, 2016
Daniel Brown Individual Corporate DirectorBoard Member Dec 14, 2017
Hopewell Health Centers, Inc. Organization, Chillicothe, OH Corporation 5% Or Greater Direct Ownership Interest Apr 9, 2013 100%

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hopewell Health Centers, Inc.Pomeroy, OH, CCN 361921 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 9, 2013
Hopewell Health Centers, Inc.Reedsville, OH, CCN 721871 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 9, 2013
Hopewell Health Centers IncMarietta, OH, CCN 721137 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 9, 2013
Hopewell Health Centers, Inc.Beverly, OH, CCN D21090 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 9, 2013

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1083388839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456010188",
            "telephone_number": "740-773-4366",
            "fax_number": "740-773-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 TYREE BLVD",
            "city": "RACINE",
            "state": "OH",
            "postal_code": "457715008",
            "telephone_number": "740-444-5247",
            "fax_number": "740-444-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "BRIDENBAUGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-773-4366"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Racine, OH

Sources for this page

Verify at the official NPI Registry.