NPIMap

Organization Active NPI

Columbus Neighborhood Health Center Inc

Doing business as PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
National Provider Identifier
1194071050
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
Doing business as
PrimaryOne Health
Practice address
1751 Alum Creek Dr
Columbus, OH 43207
Phone
(614) 526-5420
Fax
(614) 526-5421
NPI assigned
Jul 30, 2012
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS NEIGHBORHOOD HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Johnetta Ridgeway
Title
Provider Enrollment Coordinator
Phone
(614) 859-1906

Specialties & licenses 1

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

Addresses

Primary practice location

1751 Alum Creek Dr
Columbus, OH 43207

Mailing address

3433 Agler Rd Ste 2800
Columbus, OH 43219-3389
Phone (614) 859-1906

Other identifiers 2

IdentifierTypeStateIssuer
0091052MedicaidOH
36D2050327OtherOHCLIA

Other names 1

  • PrimaryOne Health Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130710000519 OH Part A Provider - Federally Qualified Health Center (FQHC) 3678469129 Practice locations: Columbus, OH
O20140721000618 OH Part B Supplier - Clinic/Group Practice 3678469129 Receives reassigned benefits from 120 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Circleville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194071050. Details of each certification follow.

Federally qualified health center certification: CCN 361025

Legal name
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
Doing business as
PRIMARYONE HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 11, 2013
Last certification
Jul 11, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 12, 2012 in OH
Enrollment address
1751 Alum Creek Dr
Columbus, OH 43207

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2050327Columbus Neighborhood Health1751 Alum Creek Drive, Columbus, OH 43207Certificate of waiverNov 26, 2026

National Provider Directory

National Provider Directory
Tax ID family
Cols Neigh Health Cente8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

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 Beard Individual Corporate DirectorBoard Member Dec 3, 2021
Liza Paul Individual Corporate DirectorCfo Dec 4, 2024
Johnetta Ridgeway Individual W-2 Managing EmployeeProvider Enrollment Specialist Dec 3, 2021
Caitlin Purk Individual Corporate DirectorCfo Dec 4, 2024
Eric Wu Individual Corporate DirectorCfo Dec 4, 2024
Ephraim Laidley Individual Corporate DirectorCfo Dec 4, 2024
Emily Fisher Individual Corporate DirectorBoard of Director Dec 4, 2024
Robert Weis Individual Corporate OfficerCfo Dec 4, 2024
Dustin McKee Individual Corporate DirectorBoard Member Dec 3, 2021
Adrian Fredrick Individual Corporate DirectorBoard of Director Member Dec 4, 2024

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1194071050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD STE 2800",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193389",
            "telephone_number": "614-859-1906",
            "fax_number": "614-458-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43207",
            "telephone_number": "614-526-5420",
            "fax_number": "614-526-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS NEIGHBORHOOD HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS NEIGHBORHOOD HEALTH CENTER INC",
        "enumeration_date": "2012-07-30",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "614-859-1906"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091052",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D2050327",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimaryOne Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PrimaryOne Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.