Ohio Hills Health Services

Organization Active NPI Federally Qualified Health Center (FQHC) · Barnesville, OH

NPI 1326089129 · NPPES record last updated Nov 3, 2021

Key facts

NPI
1326089129
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
OHIO HILLS HEALTH SERVICES
Practice address
101 E Main St
Barnesville, OH 43713-1005
Phone
(740) 425-5165
NPI assigned
Jun 10, 2006
Organization subpart
Yes
Parent organization (as reported)
OHIO HILLS HEALTH SERVICES

Authorized official

Name
Mr. Jeffrey Britton
Title
Executive Director
Phone
(740) 239-6447

Owners & managing parties with NPI records 2

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

Other NPIs on the same Medicare enrollment 7

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

Other NPIs with the same Medicare PAC ID 5

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

Practitioners 21

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OH

Federally qualified health center certification: CCN 361859

Legal name
OHIO HILLS HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 1, 1995
Last certification
Mar 1, 1995
Ownership / control type
For profit – partnership
Organization structure
Corporation · Non-profit
Incorporated
Jan 22, 1973 in OH
Enrollment address
101 E Main St
Barnesville, OH 43713-1005

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Brad Hudson
Individual
Corporate Director Mar 23, 2009
Robert Koch
Individual
Corporate Director
Board Member
Jun 23, 2021
Anita Rogers
Individual
Corporate Director
Board Member
Jun 23, 2021
Tim McKelvey
Individual
Corporate Director
Board Member
Jun 19, 2017
Teresa Lyle
Individual
W-2 Managing Employee Oct 1, 1998
Janet Chamber
Individual
Corporate Director
Director of Outreach & Development
May 6, 2019
Charles Bardall
Individual
Corporate Director Jun 4, 2007
Amber N Bauer
Individual
Corporate Director Jul 1, 2009
W-2 Managing Employee Jul 1, 2009
Brent Tisher
Individual
Corporate Director Feb 1, 2010
Sylvia Bowen
Individual
Corporate Director Jun 4, 2007
Himalaya Patcha
Individual
Corporate Director
Medical Director
Jan 1, 2020
W-2 Managing Employee
Medical Director
Jan 1, 2020
Michael Carpenter
Individual
Corporate Officer
Coo
Nov 16, 2017
W-2 Managing Employee
Coo
Nov 16, 2017
Leslie Tickhill
Individual
Corporate Director
Board Member
Apr 1, 2018
Steven Bates
Individual
Corporate Director
Board Member
Jun 23, 2021
Carol Davolio
Individual
W-2 Managing Employee
Clinical Director
Jun 23, 2021
Donna Secrest
Individual
Corporate Director May 21, 2012
Jeff Britton
Individual
Corporate Officer
Ceo
Dec 15, 2014
Corporate Director Dec 15, 2014

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070731000304 OH Part a Provider - Federally Qualified Health Center (FQHC) 7113990177 Practice locations: Barnesville, OH
O20140807002203 OH Part B Supplier - Clinic/Group Practice 7113990177 Receives reassigned benefits from 21 practitioners
7 other NPIs on this enrollment
Practice locations: Saint Clairsville, OH; Woodsfield, OH; Quaker City, OH; Freeport, OH; Bellaire, OH; Barnesville, OH

National Provider Directory

Part of
Ohio Hills Health Servi

Specialties & licenses

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

Addresses

Primary practice location

101 E Main St
Barnesville, OH 43713-1005

Mailing address

101 E Main St
Barnesville, OH 43713-1005
Phone (740) 425-5165

Other identifiers

IdentifierTypeStateIssuer
0125108MedicaidOH
OH3618591OtherOHMEDICARE FQHC PIN

Other names

  • Barnesville Family Health Center Doing business as
  • Ohio Hills Health Center Barnesville Doing business as

Other providers in Barnesville, OH

All providers in Barnesville, OH · Federally Qualified Health Center (FQHC) in Ohio

Sources for this page

Verify at the official NPI Registry.