Ohio Hills Health Services
Organization Active NPI Federally Qualified Health Center (FQHC) · Quaker City, OH
NPI 1245586254 · NPPES record last updated Nov 3, 2021
Key facts
- NPI
- 1245586254
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- OHIO HILLS HEALTH SERVICES
- Practice address
- 119 W Main St
Quaker City, OH 43773-9422 - Phone
- (740) 239-6447
- Fax
- (740) 425-5175
- NPI assigned
- Jul 27, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeffrey Britton
- Title
- Executive Director
- Phone
- (740) 239-6447
Owners & managing parties with NPI records 2
-
Himalaya Patcha, M.D.
-
Amber N Bauer, DDS
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 5
Practitioners 19
-
Jenna Marie Brown, APRN-CNP
-
Staci R Fellows, MSN, NP-C
-
Melissa Ann Huff, M.ED.,PCC
-
Miles R Jefferis, APRN, FNP-BC
-
Shelby Lee Jefferis, APRN, FNP-BC
-
Tracey Lynn Powell, MSN, FNP-BC
-
Penelope (Penny) Dawn Shepherd, LPCC/S
-
Morgan Leigh Stephen, CNP
-
Ryan Aston, PA-C
-
Joginder Kaur, MS, RD, LD
-
Himalaya Patcha, M.D.
-
Lauren Lea Wooten, M.D.
-
Russell S Lee-Wood, M.D.
-
Holly Overmiller, DO
-
Ronnie Hank Williamson, D.O.
-
Judeana Amm Gramlich, FNP
-
Natasha M. Kline, PA
-
Robert A Brewer Jr., DDS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Federally qualified health center certification: CCN 361033
- Legal name
- OHIO HILLS HEALTH SERVICES
- Doing business as
- QUAKER CITY FAMILY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 6, 2013
- Last certification
- Dec 6, 2013
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 1, 1976 in OH
- Enrollment address
- 119 W Main St
Quaker City, OH 43773-9422
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Brad Hudson |
Corporate Officer |
Feb 1, 2013 | |
| Robert Koch |
Corporate Director |
Jul 23, 2018 | |
| Anita Rogers |
Corporate Director |
Aug 17, 2020 | |
| Tim McKelvey |
Corporate Director |
Jun 19, 2017 | |
| Teresa Lyle |
W-2 Managing Employee |
Oct 1, 1998 | |
| Janet Chamber |
Corporate Director |
May 6, 2019 | |
| Charles Bardall |
Corporate Officer |
Feb 1, 2013 | |
| Amber N Bauer |
Corporate Director |
Jul 1, 2009 | |
| W-2 Managing Employee |
Jul 1, 2009 | ||
| Brent Tisher |
Corporate Director |
Feb 1, 2010 | |
| Sylvia Bowen |
Corporate Officer |
Feb 1, 2013 | |
| Himalaya Patcha |
Corporate Director |
Jan 1, 2020 | |
| W-2 Managing Employee |
Jan 1, 2020 | ||
| Michael Carpenter |
Corporate Officer |
Nov 16, 2017 | |
| Leslie Tickhill |
Corporate Director |
Apr 1, 2018 | |
| Steven Bates |
Corporate Director |
Dec 17, 2018 | |
| Carol Davolio |
W-2 Managing Employee |
Mar 9, 2016 | |
| Donna Secrest |
Corporate Officer |
Feb 1, 2013 | |
| Jeff Britton |
Corporate Officer |
Dec 15, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131206001695 | OH | Part a Provider - Federally Qualified Health Center (FQHC) | 7113990177 | Practice locations: Quaker City, OH |
| O20140807002203 | OH | Part B Supplier - Clinic/Group Practice | 7113990177 |
Receives reassigned benefits from 21 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saint Clairsville, OH; Woodsfield, OH; Quaker City, OH; Freeport, OH; Bellaire, OH; Barnesville, OH |
National Provider Directory
Locations
101 E Main St
Bldg 3
Barnesville, OH 43713
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
119 W Main St
Quaker City, OH 43773-9422
Mailing address
101 E Main St
Barnesville, OH 43713-1005
Phone (740) 239-6447
Other names
- Ohio Hills Health Center Quaker City
- Quaker City Family Health Center
Other providers in Quaker City, OH
- Louis Andrew Bouvier
- Molli Carpenter
- Fairview Community Volunteer Fire Department
- Staci R Fellows
- Chandra Nicole Galford
- Ohio Hills Health Services
- Angel Schuler
- Dorothy Patricia Toohey
- Rene Urick
- Village of Quaker City
All providers in Quaker City, OH · Federally Qualified Health Center (FQHC) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.