NPIMap

Organization Active NPI

Christian Community Health Services

Doing business as Crossroad Health Center

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
National Provider Identifier
1598719361
Registry record updated Jun 5, 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
1712 Race St
Cincinnati, OH 45202-6418
Phone
(513) 381-2247
Fax
(513) 381-1459
NPI assigned
May 19, 2006
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 OH Primary

Addresses

Primary practice location

1712 Race St
Cincinnati, OH 45202-6418

Mailing address

1712 Race St
Cincinnati, OH 45202-3906
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 OH2 enrollments

Enrollment records 2

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
Practice locations: Harrison, OH; Cincinnati, OH
O20100908001146 OH Part A Provider - Federally Qualified Health Center (FQHC) 7517966211 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598719361. Details of each certification follow.

Federally qualified health center certification: CCN 361880

Legal name
CHRISTIAN COMMUNITY HEALTH SERVICES
Doing business as
CROSSROAD HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 3, 2001
Last certification
Aug 3, 2001
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 15, 1990 in OH
Enrollment address
1712 Race St
Cincinnati, OH 45202-6418

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
Christian Community Hea7 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

2170 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-4271

10450 New Haven Rd
Ste 3
Harrison, OH 45030
Phone (513) 367-5888

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Roger Howell Individual Corporate Director Jul 20, 2010
Kimberly Schaefer Individual Corporate DirectorBoard of Director May 21, 2024
Monica Wilkins Individual Corporate Director Jul 20, 2010
Steve Smith Individual Corporate DirectorBoard of Directors Jun 1, 2016
Celeste Dunlap Individual Corporate DirectorBoard Member Feb 18, 2014
Jenny Perez Individual Corporate DirectorVice Chairman Jun 1, 2020
Chad Burnet Individual Corporate DirectorTreasurer Jun 1, 2018
James J Berrens Individual Corporate OfficerCeo May 22, 2015
W-2 Managing Employee May 22, 2015
Pablo Martinez Individual Corporate DirectorBoard of Director Jun 1, 2022
Steve Bester Individual Corporate DirectorBoard of Director Jun 1, 2023
Timothy Vale Individual Corporate OfficerCfo Jan 1, 2017
W-2 Managing Employee Jan 1, 2017
Kimberly a Johnson Individual Corporate DirectorBoard of Director Jun 1, 2023
Kathleen M Wilson Individual Corporate DirectorBoard of Director -Chair Jun 1, 2021

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1598719361",
    "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": "452023906",
            "telephone_number": "513-381-2247",
            "fax_number": "513-381-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 RACE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026418",
            "telephone_number": "513-381-2247",
            "fax_number": "513-381-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "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": "OH",
            "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.