NPIMap

Organization Active NPI

Hopewell Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Logan, OH
National Provider Identifier
1669463360
Registry record updated Dec 6, 2017
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
30381 Chieftain Drive
Logan, OH 43138-1013
Phone
(740) 385-2555
Fax
(740) 380-3750
NPI assigned
Nov 2, 2005
Last updated
Dec 6, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
HOPEWELL HEALTH CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Mark A Bridenbaugh
Title
Chief Executive Officer
Phone
(740) 773-4366

Specialties & licenses 1

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

Addresses

Primary practice location

30381 Chieftain Drive
Logan, OH 43138-1013

Mailing address

1049 Western Ave
Chillicothe, OH 45601-1104
Phone (740) 773-4366

Other identifiers 1

IdentifierTypeStateIssuer
2391746MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030509000054 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 1669463360. Details of each certification follow.

Federally qualified health center certification: CCN 361886

Legal name
HOPEWELL HEALTH CENTERS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 1, 2003
Last certification
Aug 1, 2003
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Aug 29, 1985 in OH
Enrollment address
30381 Chieftain Dr
Logan, OH 43138-9092
Related CCNs
361824

Facilities connected through Provider of Services related, parent or unit certification numbers.

National Provider Directory

National Provider Directory
Tax ID family
Hopewell Health Centers Inc72 organizations share this tax ID, including this one
Part of
Hopewell Health Centers Inc

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 11

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 5% Or Greater Direct Ownership InterestCeo Nov 1, 2000 100%
Corporate OfficerCeo Nov 1, 2000 100%
Donald Poole Individual Corporate DirectorVice President Feb 1, 2011
Nicole White Individual Corporate DirectorDelegated Official Jun 1, 2014
W-2 Managing EmployeeBilling Manager Jun 1, 2014
Gregory Ervin Individual Corporate DirectorBoard Member Dec 14, 2017
John Means Individual Corporate DirectorTreasurer Feb 1, 2014
Martha Murphy Individual Corporate DirectorBoard Member Nov 15, 2015
Peter W Howison Individual Corporate DirectorBoard Member Apr 1, 2018
Kathryn Cecil Individual Corporate DirectorPresident Mar 1, 2004
Thomas R. McGuire Individual Corporate Director May 12, 2003
Amy Jo Newlun Individual Corporate DirectorBoard Member Oct 27, 2016

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": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1669463360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 WESTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011104",
            "telephone_number": "740-773-4366",
            "fax_number": "740-775-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30381 CHIEFTAIN DRIVE",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381013",
            "telephone_number": "740-385-2555",
            "fax_number": "740-380-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL HEALTH CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPEWELL HEALTH CENTERS INC",
        "enumeration_date": "2005-11-02",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "BRIDENBAUGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "740-773-4366"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2391746",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.