NPIMap

Organization Active NPI

Hopewell Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wellston, OH
National Provider Identifier
1376227876
Registry record updated Jun 14, 2023
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
225 Golden Rocket Dr Ofc E126
Wellston, OH 45692-9605
Phone
(740) 336-0134
NPI assigned
Jun 14, 2023
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Mark Bridenbaugh
Title
Ceo
Phone
(740) 773-4366

Specialties & licenses 1

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

Addresses

Primary practice location

225 Golden Rocket Dr Ofc E126
Wellston, OH 45692-9605

Mailing address

PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230925001837 OH Part A Provider - Federally Qualified Health Center (FQHC) 9234049990 Practice locations: Wellston, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376227876. Details of each certification follow.

Federally qualified health center certification: CCN D21014

Legal name
HOPEWELL HEALTH CENTERS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 25, 2023
Last certification
Sep 25, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1985 in OH
Enrollment address
225 Golden Rocket Dr
Ofc E126
Wellston, OH 45692-9605

National Provider Directory

National Provider Directory
Tax ID family
Hopewell Health Centers Inc72 organizations share this tax ID, including this one

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

Ownership & related parties

All disclosed owners & managing parties 11

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 OfficerCeo Nov 1, 2000
W-2 Managing EmployeeCeo Nov 1, 2000
Donald Poole Individual Corporate DirectorVice President Board of Directors Feb 11, 2011
Gregory Ervin Individual Corporate DirectorBoard Secretary Dec 14, 2017
John Means Individual Corporate DirectorTreasurer Board of Directors Feb 14, 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 Board of Directors Mar 1, 2004
Thomas R. McGuire Individual Corporate DirectorBoard Member Aug 1, 1999
Amy Jo Newlun Individual Corporate DirectorBoard Member Oct 27, 2016
Jonnetta Gadson Individual Corporate DirectorBoard Member Apr 28, 2022

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": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1376227876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456010188",
            "telephone_number": "740-773-4366",
            "fax_number": "740-773-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GOLDEN ROCKET DR OFC E126",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456929605",
            "telephone_number": "740-336-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "BRIDENBAUGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-773-4366"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellston, OH

Sources for this page

Verify at the official NPI Registry.