NPIMap

Organization Active NPI

Springvale Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • New Philadelphia, OH
National Provider Identifier
1508549395
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SPRINGVALE HEALTH CENTERS, INC
Practice address
155 Garland Dr SW
New Philadelphia, OH 44663-6300
Phone
(330) 365-1781
NPI assigned
Aug 9, 2023
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Joseph J Boroski, LPCC
Title
Executive Director
Phone
(330) 343-6631

Specialties & licenses 1

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

Addresses

Primary practice location

155 Garland Dr SW
New Philadelphia, OH 44663-6300

Mailing address

155 Garland Dr SW
New Philadelphia, OH 44663-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231026002058 OH Part A Provider - Federally Qualified Health Center (FQHC) 4688616980 Practice locations: New Philadelphia, OH
O20250325001415 OH Part B Supplier - Clinic/Group Practice 4688616980 Receives reassigned benefits from 10 practitioners
Practice locations: New Philadelphia, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508549395. Details of each certification follow.

Federally qualified health center certification: CCN D21017

Legal name
SPRINGVALE HEALTH CENTERS,INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 25, 2023
Last certification
Oct 25, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 8, 1975 in OH
Enrollment address
155 Garland Dr SW
New Philadelphia, OH 44663-6300

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Springvale Health Centers Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

155 Garland Dr SW
New Philadelphia, OH 44663
Phone (330) 365-1781

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Charles Snyder Individual Corporate DirectorBoard Member Jan 1, 2023
Joseph Boroski Individual Corporate Director Feb 10, 2010
W-2 Managing Employee Feb 10, 2010
Robert Basso Individual Corporate DirectorBoard Member Jan 1, 2023
Edward Mason Individual Corporate DirectorBoard Member Jan 1, 2023

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Springvale Health Centers,IncDover, OH, CCN D21084 Federally qualified health center Operational/Managerial Control Apr 7, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1508549395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GARLAND DR SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446636300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GARLAND DR SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446636300",
            "telephone_number": "330-365-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGVALE HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "BOROSKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-343-6631",
        "authorized_official_credential": "LPCC"
    },
    "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 New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.