NPIMap

Organization Active NPI

Neighborhood Health Clinics, Inc

  • Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1669879664
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NEIGHBORHOOD HEALTH CLINICS, INC
Practice address
1721 S Calhoun St
Fort Wayne, IN 46802
Phone
(260) 458-2641
Fax
(260) 458-3093
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Angela M Zaegel
Title
President/Ceo
Phone
(260) 458-2646

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

1721 S Calhoun St
Fort Wayne, IN 46802

Mailing address

1717 S Calhoun St
Fort Wayne, IN 46802-5257
Phone (260) 458-2641

Other identifiers 1

IdentifierTypeStateIssuer
15-1884OtherINMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051012000658 IN Part B Supplier - Clinic/Group Practice 8022926294 Receives reassigned benefits from 75 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Wayne, IN
O20120813000122 IN Part A Provider - Federally Qualified Health Center (FQHC) 8022926294 1 other NPI on this enrollment
Practice locations: Fort Wayne, IN

Federally qualified health center certification: CCN 151884

Legal name
NEIGHBORHOOD HEALTH CLINICS INC
Doing business as
NEIGHBORHOOD HEALTH CLINICS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 6, 2012
Last certification
Dec 6, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 25, 1994 in IN
Enrollment address
1721 S Calhoun St
Fort Wayne, IN 46802-5257

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood Health Clinics 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.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Denita Washington Individual OtherBoard Member Jan 1, 2021
Mark G Hamilton Individual Corporate OfficerCfo/Vice President Jan 24, 2022
W-2 Managing EmployeeCfo/Vice President Jan 24, 2022
Cindy Geisman Individual Corporate OfficerCoo Vice President Jan 17, 2017
W-2 Managing EmployeeCoo Vice President Jan 17, 2017
Bruce Hamilton Individual Corporate OfficerChro Apr 26, 2021
W-2 Managing EmployeeChro Apr 26, 2021
Cynthia Villanueva Individual OtherBoard Member Jan 1, 2021
Melissa Bradberry Individual Corporate OfficerChair Feb 1, 2015
Sharon J Singleton Individual Corporate OfficerCmo Apr 9, 2018
W-2 Managing EmployeeCmo Apr 9, 2018
Angela Hannon Individual Corporate Director Jan 1, 2012
W-2 Managing Employee Apr 9, 1997
Tyler J Kimmel Individual Corporate OfficerCdo Jun 3, 2013
W-2 Managing EmployeeCfo/Vice President Jan 24, 2022
Benjamin J Yoder Individual Corporate Officer1St Vice Chair Feb 1, 2014
Ben Eisbart Individual Corporate OfficerSecretary Feb 1, 2020
Pamela Messman Individual OtherBoard Member Feb 1, 2017
Heidi Fowler Individual OtherBoard Member Feb 1, 2018
Marcella Jackson Individual OtherBoard Member Feb 1, 2009
Matthew J Sprunger Individual Corporate OfficerTreasurer Feb 1, 2016
Johnathan C Liechty Individual Corporate Officer2ND Vice Chair Feb 1, 2014

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1669879664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S CALHOUN ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468025257",
            "telephone_number": "260-458-2641",
            "fax_number": "260-458-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S CALHOUN ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46802",
            "telephone_number": "260-458-2641",
            "fax_number": "260-458-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CLINICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ZAEGEL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "260-458-2646"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "15-1884",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.