NPIMap

Organization Active NPI

Neighborhood Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
National Provider Identifier
1265678791
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD HEALTH CARE, INC.
Practice address
4623 Wesley Ave
Suite G
Cincinnati, OH 45212-2246
Phone
(513) 631-3338
Fax
(513) 631-3385
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Dr. Marcia A Irving-Ray, DDS
Title
Ceo
Phone
(513) 221-4949

Specialties & licenses 1

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

Addresses

Primary practice location

4623 Wesley Ave
Suite G
Cincinnati, OH 45212-2246

Mailing address

2415 Auburn Ave
Cincinnati, OH 45219-2701
Phone (513) 221-4949

Other identifiers 1

IdentifierTypeStateIssuer
2891401MedicaidOH

Other names 1

  • Norwood Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 361009

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NEIGHBORHOOD HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 16, 2012
Last certification
Oct 16, 2012
Ownership / control type
For profit – corporation
Facility address
4623 Wesley Avenue Suite G
Cincinnati, OH 45212

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1265678791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192701",
            "telephone_number": "513-221-4949",
            "fax_number": "513-221-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 WESLEY AVE",
            "address_2": "SUITE G",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122246",
            "telephone_number": "513-631-3338",
            "fax_number": "513-631-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "IRVING-RAY",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-221-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2891401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norwood Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.