NPIMap

Organization Active NPI

Hopewell Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Logan, OH
National Provider Identifier
1487348629
Registry record updated Jun 8, 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
13579 Maysville-Williams Rd
Logan, OH 43138
Phone
(740) 541-7468
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 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 Primary

Addresses

Primary practice location

13579 Maysville-Williams Rd
Logan, OH 43138

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
O20241014002772 OH Part A Provider - Federally Qualified Health Center (FQHC) 9234049990 Practice locations: Logan, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487348629. Details of each certification follow.

Federally qualified health center certification: CCN D21052

Legal name
HOPEWELL HEALTH CENTERS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 14, 2024
Last certification
Oct 14, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1985 in OH
Enrollment address
13579 Maysville-Williams Rd
Ofc 287
Logan, OH 43138-8971

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 10

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 EmployeeAd; Nov 1, 2000
Denise Blair Individual Corporate DirectorBoard Member Apr 25, 2024
Gregory Ervin Individual Corporate DirectorBoard Secretary Dec 14, 2017
Victoria a Robinson Individual Corporate DirectorBoard Member Apr 25, 2024
John Means Individual Corporate DirectorBoard Treasurer Feb 14, 2014
Martha Murphy Individual Corporate DirectorBoard Member Nov 15, 2015
Kathryn Cecil Individual Corporate DirectorBoard President Mar 1, 2004
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": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1487348629",
    "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": "13579 MAYSVILLE-WILLIAMS RD",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "43138",
            "telephone_number": "740-541-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-01",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.