NPIMap

Organization Active NPI

Cincinnati Health Network, Inc

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
National Provider Identifier
1255155388
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CINCINNATI HEALTH NETWORK, INC
Practice address
4769 Reading Rd
Neighborhub Health Clinic
Cincinnati, OH 45237-6107
Phone
(513) 961-0600
Fax
(513) 961-0643
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Austin Maddox
Title
Cfo
Phone
(513) 961-0600

Specialties & licenses 1

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

Addresses

Primary practice location

4769 Reading Rd
Neighborhub Health Clinic
Cincinnati, OH 45237-6107

Mailing address

40 E McMicken Ave
Cincinnati, OH 45202-6625
Phone (513) 961-0600

Other names 1

  • NeighborHub Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203004421 OH Part A Provider - Federally Qualified Health Center (FQHC) 2062678758 Practice locations: Cincinnati, OH

Federally qualified health center certification: CCN D21075

Legal name
CINCINNATI HEALTH NETWORK, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 26, 2024
Last certification
Nov 26, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
4769 Reading Rd
Cincinnati, OH 45237-6107

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Cincinnati Health Network Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

40 E McMicken Ave
Ste 2
Cincinnati, OH 45202
Phone 5139610600309

4138 Hamilton Ave
Ste 101
Cincinnati, OH 45223
Phone (513) 386-7899

4769 Reading Rd
Cincinnati, OH 45237
Phone (513) 386-7899

1615 Republic St
Cincinnati, OH 45202
Phone (513) 386-7899

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Brian Vanderhorst Individual W-2 Managing Employee Sep 1, 2021

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Cincinnati Health Network, IncCincinnati, OH, CCN 361014 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 5, 1986
ShelterhouseCincinnati, OH, CCN 361109 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 5, 1986

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1255155388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E MCMICKEN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026625",
            "telephone_number": "513-961-0600",
            "fax_number": "513-961-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4769 READING RD",
            "address_2": "NEIGHBORHUB HEALTH CLINIC",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376107",
            "telephone_number": "513-961-0600",
            "fax_number": "513-961-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI HEALTH NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-961-0600"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeighborHub Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.