NPIMap

Organization Active NPI

Christian Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Harrison, OH
National Provider Identifier
1639574148
Registry record updated Jun 10, 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
Practice address
10450 New Haven Rd
Harrison, OH 45030-2780
Phone
(513) 367-5888
Fax
(513) 367-1015
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 Primary

Addresses

Primary practice location

10450 New Haven Rd
Harrison, OH 45030-2780

Mailing address

1712 Race St
Cincinnati, OH 45202-6418
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
This NPI is an additional NPI on the enrollment
Practice locations: Harrison, OH; Cincinnati, OH
O20150428000885 OH Part A Provider - Federally Qualified Health Center (FQHC) 7517966211 Practice locations: Harrison, OH

Federally qualified health center certification: CCN 361072

Legal name
CHRISTIAN COMMUNITY HEALTH SERVICES
Doing business as
CROSSROAD HEALTH CENTER HARRISON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 23, 2015
Last certification
Apr 23, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 15, 1990 in OH
Enrollment address
10450 New Haven Rd
Ste 3
Harrison, OH 45030-2761

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 Health7 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

270 Southern Ave
Cincinnati, OH 45219
Phone (513) 363-5624

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
Mark Norman Individual Corporate DirectorTrustee Jun 1, 1993
Roger Howell Individual Corporate DirectorTrustee Jun 1, 2005
Kimberly Schaefer Individual Corporate DirectorBoard of Director May 21, 2024
Monica Wilkins Individual Corporate DirectorTrustee Jun 1, 1996
Steve Smith Individual Corporate DirectorBoard of Director Jun 1, 2016
Celeste Dunlap Individual Corporate DirectorTrustee Feb 18, 2014
Jenny Perez Individual Corporate DirectorBoard of Director Jun 1, 2020
Chad Burnet Individual Corporate DirectorBoard of Director Jun 1, 2018
James J Berrens Individual Corporate OfficerCeo Jan 1, 2016
W-2 Managing EmployeeCeo Jan 1, 2016
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, 2016
W-2 Managing EmployeeCfo Jan 1, 2016
Kimberly a Johnson Individual Corporate DirectorBoard of Director Jun 1, 2023
Kathleen M Wilson Individual Corporate DirectorBoard of Director Jun 1, 2021

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1639574148",
    "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": "452026418",
            "telephone_number": "513-381-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 NEW HAVEN RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302780",
            "telephone_number": "513-367-5888",
            "fax_number": "513-367-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroad Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrison, OH

Sources for this page

Verify at the official NPI Registry.