Columbus Neighborhood Health Center, Inc.

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

NPI 1346304151 · NPPES record last updated Aug 28, 2026

Key facts

NPI
1346304151
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Practice address
3433 Agler Road
Suite 2800
Columbus, OH 43219
Phone
(614) 645-1600
Fax
(614) 645-1347
NPI assigned
Dec 19, 2006
Organization subpart
Yes
Parent organization (as reported)
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC.

Authorized official

Name
Johnetta Ridgeway
Title
Provider Enrollment Coordinator
Phone
(614) 859-1906

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 8

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

Corporate family (same tax ID) 7

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

Practitioners 109

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

View all 109

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2231824Primaryone Health Agler
3433 Agler Rd, Columbus, OH 43219
Certificate of waiverAug 5, 2027

Medicare participation

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

Federally qualified health center certification: CCN 361878

Legal name
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
Doing business as
PRIMARYONE HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 27, 2001
Last certification
Feb 27, 2001
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
May 29, 1997 in OH
Enrollment address
3433 Agler Rd 2800
Columbus, OH 43219-3389

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
Russell Barney
Individual
Corporate Director
Board Member
Feb 16, 2022
Gene Steffen
Individual
Corporate Officer
Interim Cfo
Jan 20, 2026
Thomas Adams
Individual
Corporate Director
Board Member
Feb 16, 2022
Jennifer Beard
Individual
Corporate Director
Board Member
Feb 16, 2022
Johnetta Ridgeway
Individual
W-2 Managing Employee
Provider Enrollment Specialist
Feb 16, 2022
Robert Bensonhaver
Individual
Corporate Director
Board Member
Feb 16, 2022
Mary Bynum
Individual
Corporate Director
Board Member
Feb 16, 2022
Erica McGriff
Individual
Corporate Director
Board Member
Feb 16, 2022
Samantha Shuler
Individual
Corporate Director
Board Member
Feb 16, 2022
Beth Whitted
Individual
Corporate Director
Director, Regional Operations
Jun 3, 2013 100%
W-2 Managing Employee
Director, Regional Operations
Jun 3, 2013 100%
Kyla Ross
Individual
Corporate Director
Board Member
Feb 16, 2022
Dustin McKee
Individual
Corporate Director
Board Member
Feb 16, 2022
Jacqueline Downey
Individual
Corporate Director
Board Member
Feb 16, 2022

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110621000294 OH Part a Provider - Federally Qualified Health Center (FQHC) 3678469129 Practice locations: Columbus, OH
O20140721000618 OH Part B Supplier - Clinic/Group Practice 3678469129 Receives reassigned benefits from 120 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Circleville, OH

National Provider Directory

Tax ID family
CNHC St Marks Health CT (19 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

3433 Agler Road
Suite 2800
Columbus, OH 43219

Mailing address

3433 Agler Rd Ste 2800
Columbus, OH 43219-3389
Phone (614) 859-1906

Other identifiers

IdentifierTypeStateIssuer
2235352MedicaidOH
36D0982502OtherOHCLIA

Other names

  • PrimaryOne Health Doing business as

Other providers in Columbus, OH

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

Sources for this page

Verify at the official NPI Registry.