NPIMap

Organization Active NPI

Columbus Neighborhood Health Center Inc

Doing business as PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Circleville, OH
National Provider Identifier
1578985453
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
Doing business as
PrimaryOne Health
Practice address
600 N Pickaway St Ste 300
Circleville, OH 43113-1447
Phone
(740) 207-4202
Fax
(740) 207-4221
NPI assigned
Jan 13, 2014
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Johnetta Ridgeway
Title
Provider Enrollment Coordinator
Phone
(614) 859-1906

Specialties & licenses 1

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

Addresses

Primary practice location

600 N Pickaway St Ste 300
Circleville, OH 43113-1447

Mailing address

3433 Agler Rd Ste 2800
Columbus, OH 43219-3389
Phone (614) 859-1906

Other identifiers 2

IdentifierTypeStateIssuer
0104410MedicaidOH
36D2070605OtherOHCLIA

Other names 1

  • PrimaryOne Health Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140326002273 OH Part A Provider - Federally Qualified Health Center (FQHC) 3678469129 Practice locations: Circleville, OH
O20140721000618 OH Part B Supplier - Clinic/Group Practice 3678469129 Receives reassigned benefits from 120 practitioners
11 other NPIs on this enrollment
Practice locations: Columbus, OH; Circleville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578985453. Details of each certification follow.

Federally qualified health center certification: CCN 361044

Legal name
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
Doing business as
PRIMARYONE HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 27, 2014
Last certification
Mar 27, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 21, 2014 in OH
Enrollment address
600 N Pickaway St
# 300
Circleville, OH 43113-1447

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2070605Columbus Neighborhood Health600 N Pickaway St Suite 300, Circleville, OH 43113Certificate of waiverDec 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cols Neigh Health Cente8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Russell Barney Individual Corporate DirectorBoard Member Jan 3, 2021
David Sanchez Individual Corporate DirectorBoard Member Jan 3, 2021
Gene Steffen Individual Corporate OfficerInterim Cfo Jan 20, 2026
Thomas Adams Individual Corporate DirectorBoard Member Jan 3, 2021
Jennifer Beard Individual Corporate DirectorBoard Member Jan 3, 2021
Johnetta Ridgeway Individual W-2 Managing EmployeeProvider Enrollment Specialist Aug 9, 2021
Robert Bensonhaver Individual Corporate DirectorBoard Member Jan 3, 2021
Mary Bynum Individual Corporate DirectorBoard Member Jan 3, 2021
Erica McGriff Individual Corporate DirectorBoard Member Jan 3, 2021
Emily Fisher Individual Corporate DirectorBoard Member Jan 3, 2021
Samantha Shuler Individual Corporate DirectorBoard Member Jan 3, 2021
Kyla Ross Individual Corporate DirectorBoard Member Jan 3, 2021
Dustin McKee Individual Corporate DirectorBoard Member Jan 3, 2021
Jacqueline Downey Individual Corporate DirectorBoard Member Jan 3, 2021

Practitioners & affiliated clinicians

Practitioners 124

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 124

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1578985453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD STE 2800",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193389",
            "telephone_number": "614-859-1906",
            "fax_number": "614-458-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST STE 300",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131447",
            "telephone_number": "740-207-4202",
            "fax_number": "740-207-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS NEIGHBORHOOD HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS NEIGHBORHOOD HEALTH CENTER INC.",
        "enumeration_date": "2014-01-13",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "614-859-1906"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104410",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D2070605",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimaryOne Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PrimaryOne Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.