NPIMap

Organization Active NPI

Hopewell Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Glouster, OH
National Provider Identifier
1164826129
Registry record updated Oct 20, 2014
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
18500 Jacksonville Rd
Glouster, OH 45732-9337
Phone
(740) 767-2810
NPI assigned
Oct 20, 2014
Last updated
Oct 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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 1

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

Addresses

Primary practice location

18500 Jacksonville Rd
Glouster, OH 45732-9337

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 IDStateProvider typePAC IDDetails
O20150128002125 OH Part A Provider - Federally Qualified Health Center (FQHC) 9234049990 Practice locations: Glouster, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164826129. Details of each certification follow.

Federally qualified health center certification: CCN 361059

Legal name
HOPEWELL HEALTH CENTERS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 2, 2014
Last certification
Dec 2, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1985 in OH
Enrollment address
18500 Jacksonville Rd
Glouster, OH 45732-9337

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 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 10

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 5% Or Greater Direct Ownership InterestCeo Nov 1, 2000 100%
Corporate OfficerChief Executive Officer Nov 1, 2000 100%
W-2 Managing EmployeeCeo Nov 1, 2000 100%
Donald Poole Individual Corporate DirectorVice President Board of Directors Feb 1, 2011
Gregory Ervin Individual Corporate DirectorSecretary Board of Directors Dec 14, 2017
John Means Individual Corporate DirectorTreasurer of Board of Directors Feb 1, 2014
Martha Murphy Individual Corporate DirectorBoard Member Nov 15, 2015
Peter W Howison Individual Corporate DirectorBoard Member Apr 1, 2018
Kathryn Cecil Individual Corporate DirectorPresident Board of Directors Mar 1, 2004
Thomas R. McGuire Individual Corporate DirectorMember of Board of Directors Aug 1, 1999
Amy Jo Newlun Individual Corporate DirectorBoard Member Oct 27, 2016

All facility ownership & control disclosures 5

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, Inc.Racine, OH, CCN 721930 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

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1164826129",
    "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": "18500 JACKSONVILLE RD",
            "city": "GLOUSTER",
            "state": "OH",
            "postal_code": "457329337",
            "telephone_number": "740-767-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glouster, OH

Sources for this page

Verify at the official NPI Registry.