NPIMap

Organization Active NPI

Christian Community Health Services

Doing business as Crossroad Health Center

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
National Provider Identifier
1396079109
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHRISTIAN COMMUNITY HEALTH SERVICES
Doing business as
Crossroad Health Center
Practice address
2170 Anderson Ferry Rd
Cincinnati, OH 45238-3328
Phone
(513) 922-4271
Fax
(513) 922-3936
NPI assigned
Sep 25, 2009
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Tim Vale
Title
Ceo
Phone
(513) 381-2247

Specialties & licenses 1

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

Addresses

Primary practice location

2170 Anderson Ferry Rd
Cincinnati, OH 45238-3328

Mailing address

1712 Race St
Cincinnati, OH 45202-6814
Phone (513) 381-2247

Other names 1

  • Crossroad Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20061206000464 OH Part B Supplier - Clinic/Group Practice 7517966211 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harrison, OH; Cincinnati, OH
O20130813000505 OH Part A Provider - Federally Qualified Health Center (FQHC) 7517966211 Practice locations: Cincinnati, OH
O20160829003138 OH Part B Supplier - Clinic/Group Practice 7517966211 Receives reassigned benefits from 2 practitioners
Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396079109. Details of each certification follow.

Federally qualified health center certification: CCN 361029

Legal name
CHRISTIAN COMMUNITY HEALTH SERVICES
Doing business as
CROSSROAD HEALTH CENTER WEST
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 15, 2013
Last certification
Aug 15, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 15, 1990 in OH
Enrollment address
2170 Anderson Ferry Rd
Cincinnati, OH 45238-3328

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Kenneth Koster MD7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

241 E Clifton Ave
Cincinnati, OH 45202
Phone (513) 363-5778

2859 Boudinot Ave
Ste 107
Cincinnati, OH 45238
Phone (513) 389-3105

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Mark Norman Individual Corporate Director Jul 20, 2010
Orson J Austin Individual Corporate Director Jul 20, 2010
Roger Howell Individual Corporate Director Jul 20, 2010
Monica Wilkins Individual Corporate Director Jul 20, 2010
James J Berrens Individual Corporate OfficerCeo Jan 1, 2017
Peter Tighe Individual Corporate Director Jul 20, 2010
Katrina Lackey Individual Corporate Director Jul 20, 2010
Timothy Vale Individual Corporate OfficerCfo Jan 1, 2017
W-2 Managing Employee Jan 1, 2017
Janet N Germann Individual Corporate Director Jul 20, 2010

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1396079109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 RACE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026814",
            "telephone_number": "513-381-2247",
            "fax_number": "513-381-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 ANDERSON FERRY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383328",
            "telephone_number": "513-922-4271",
            "fax_number": "513-922-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "VALE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-381-2247"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroad Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.