Knox County General Health District
Organization Active NPI Federally Qualified Health Center (FQHC) · Danville, OH
NPI 1417544636 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1417544636
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- KNOX COUNTY GENERAL HEALTH DISTRICT
- Practice address
- 706 South Market Street
Danville, OH 43014 - Phone
- (740) 399-8008
- Fax
- (740) 392-9613
- NPI assigned
- Dec 22, 2020
- Organization subpart
- No
Authorized official
- Name
- Lane Keyes Belangia
- Title
- Ceo
- Phone
- (740) 392-2200
Owners & managing parties with NPI records 7
Owned or controlled facilities with NPI records 6
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 9
Facilities with the same owner 6
Practitioners 11
-
Karla Renee Adu, CNP
-
Paige Cunningham, APRN-CNP
-
Jill Hunter, CNP
-
Jennie M. McClain, RN,DNP, FNP-BC
-
Morgan Willis, APRN-CNP
-
Hannah Bohyun Baik, DMD
-
John A Cheek, D.D.S.
-
Melissa Anne Meier, D.D.S.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Federally qualified health center certification: CCN 721883
- Legal name
- KNOX COUNTY GENERAL HEALTH DISTRICT
- Doing business as
- KNOX COUNTY DENTAL
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 7, 2021
- Last certification
- Jun 7, 2021
- Ownership / control type
- For profit – corporation
- Organization structure
- Government · Non-profit
- Enrollment address
- 706 S Market St
Danville, OH 43014
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Jason Whaley |
Corporate Officer |
Jul 1, 2022 | |
| Zachary Green |
Corporate Officer |
Jul 1, 2022 | |
| W-2 Managing Employee |
Jul 1, 2022 | ||
| Jeff Harmer |
Corporate Officer |
Jul 1, 2022 | |
| Knox County General Health District |
5% Or Greater Direct Ownership Interest | Jan 11, 2021 | 100% |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Knox County Community Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2017 |
| Danville Community Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Nov 18, 2019 |
| Kcchc Walk-in Clinic |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Security Interest (100%) |
Jan 1, 2022 Jan 1, 2022 |
| Behavioral Health of Mount Vernon Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Security Interest (100%) |
Jan 1, 2022 Jan 1, 2022 |
| Mount Vernon Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2024 Jan 1, 2024 |
| Centerburg Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210607002726 | OH | Part a Provider - Federally Qualified Health Center (FQHC) | 8820078595 | Practice locations: Danville, OH |
National Provider Directory
- Tax ID family
- Knox County Board of MRDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
706 South Market Street
Danville, OH 43014
Mailing address
11660 Upper Gilchrist Rd
Mount Vernon, OH 43050-9084
Phone (740) 399-8008
Other names
- Knox County Dental
Other providers in Danville, OH
- Thomas M Glibert
- Hard Knox Behavioral Health
- Bridget Hoeflich
- Patricia Marguerite Keefer
- Knox County Dental, Aaron F. Lerg D.D.S. Inc.
- Knox County General Health District
- Karen R Lawler
- Helga Long
- Amber Luikart
- Kimberly McCormick
All providers in Danville, OH · Federally Qualified Health Center (FQHC) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.