Organization Active NPI

Shawnee Mental Health Center, Inc.

Doing business as Shawnee Family Health Center

  • Community/Retail Pharmacy
  • Coal Grove, OH
National Provider Identifier
1154234409
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SHAWNEE MENTAL HEALTH CENTER, INC.
Doing business as
Shawnee Family Health Center
Practice address
225 Carlton Davidson LN
Coal Grove, OH 45638-2924
Phone
(740) 533-0648
Fax
(740) 533-6284
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Cynthia Holstein
Title
Ceo
Phone
(740) 355-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

225 Carlton Davidson LN
Coal Grove, OH 45638-2924

Mailing address

225 Carlton Davidson LN
Coal Grove, OH 45638-2924
Phone (740) 533-0648

Other names 1

  • SHAWNEE FAMILY HEALTH CENTER Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1154234409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CARLTON DAVIDSON LN",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382924",
            "telephone_number": "740-533-0648",
            "fax_number": "740-533-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CARLTON DAVIDSON LN",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382924",
            "telephone_number": "740-533-0648",
            "fax_number": "740-533-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A",
        "authorized_official_last_name": "HOLSTEIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-355-8686"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAWNEE FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coal Grove, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.