NPIMap

Organization Active NPI

Hopewell Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • New Lexington, OH
National Provider Identifier
1255322962
Registry record updated Jan 27, 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
2541 Panther Dr
New Lexington, OH 43764
Phone
(740) 342-4192
Fax
(740) 342-4045
NPI assigned
Nov 2, 2005
Last updated
Jan 27, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HOPEWELL HEALTH CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Mark A Bridenbaugh
Title
Chief Executive Officer
Phone
(740) 773-4366

Specialties & licenses 1

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

Addresses

Primary practice location

2541 Panther Dr
New Lexington, OH 43764

Mailing address

1049 Western Ave
Chillicothe, OH 45601-1104
Phone (740) 773-4366

Other identifiers 2

IdentifierTypeStateIssuer
0247343MedicaidOH
0836671MedicaidOH

Other names 1

  • Family Healthcare Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030804000009 OH Part A Provider - Federally Qualified Health Center (FQHC) 9234049990 Practice locations: New Lexington, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255322962. Details of each certification follow.

Federally qualified health center certification: CCN 361825

Legal name
HOPEWELL HEALTH CENTERS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 1992
Last certification
Jan 1, 1992
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 29, 1985 in OH
Enrollment address
2541 Panther Drive NE
New Lexington, OH 43764-9081

National Provider Directory

National Provider Directory
Tax ID family
Family Healthcare Inc72 organizations share this tax ID, including this one
Part of
Family Healthcare Inc

Organizations with this tax ID in the same state 24

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

View all 24

Locations

2541 Panther Dr NE
New Lexington, OH 43764
Phone (740) 342-4192

Ownership & related parties

All disclosed owners & managing parties 13

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 Corporate DirectorCeo Aug 4, 2003
W-2 Managing Employee Nov 1, 2000
Donald Poole Individual Corporate DirectorVice President Feb 1, 2011
Douglas B Carr Individual Corporate OfficerCmo Sep 17, 2007
Nicole White Individual Corporate DirectorDelegated Official Jun 1, 2014
W-2 Managing EmployeeBilling Manager Jun 1, 2014
Operational/Managerial ControlBilling Manager Jun 1, 2014
Gregory Ervin Individual Corporate DirectorSecretary Dec 14, 2017
John Means Individual Corporate DirectorTreasurer Feb 1, 2014
Bradford Nelson Individual Corporate OfficerCfo Nov 10, 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 Dec 20, 2007
Thomas R. McGuire Individual Corporate DirectorBoard Member Dec 20, 2007
Amy Jo Newlun Individual Corporate DirectorBoard Member Oct 27, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1255322962",
    "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": "2541 PANTHER DR",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "43764",
            "telephone_number": "740-342-4192",
            "fax_number": "740-342-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL HEALTH CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPEWELL HEALTH CENTERS INC",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "BRIDENBAUGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "740-773-4366"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247343",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0836671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Healthcare Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Lexington, OH

Sources for this page

Verify at the official NPI Registry.