Hopewell Health Centers, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Marietta, OH
NPI 1699475004 · NPPES record last updated Mar 6, 2023
Key facts
- NPI
- 1699475004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HOPEWELL HEALTH CENTERS, INC.
- Practice address
- 207 Colegate Dr Ste D
Marietta, OH 45750-2363 - Phone
- (740) 376-0930
- Fax
- (740) 376-0933
- NPI assigned
- Mar 6, 2023
- Organization subpart
- No
Authorized official
- Name
- Mark Bridenbaugh
- Title
- Ceo
- Phone
- (740) 773-4366
Corporate family (same tax ID) 24
Facilities with the same owner 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Federally qualified health center certification: CCN 721137
- Legal name
- HOPEWELL HEALTH CENTERS, INC.
- Doing business as
- HOPEWELL HEALTH CENTERS INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 7, 2023
- Last certification
- Apr 7, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 2, 1985 in OH
- Enrollment address
- 207 Colegate Dr
Marietta, OH 45750-2363
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Holt-Hill |
Corporate Director |
Dec 14, 2017 | |
| Mark a. Bridenbaugh |
Corporate Officer |
Nov 1, 2000 | |
| W-2 Managing Employee |
Nov 1, 2000 | ||
| Donald Poole |
Corporate Director |
Feb 11, 2011 | |
| Gregory Ervin |
Corporate Director |
Dec 14, 2017 | |
| John Means |
Corporate Director |
Feb 14, 2014 | |
| Martha Murphy |
Corporate Director |
Nov 15, 2015 | |
| Peter W Howison |
Corporate Director |
Apr 1, 2018 | |
| Kathryn Cecil |
Corporate Director |
Mar 1, 2004 | |
| Thomas R. McGuire |
Corporate Director |
Aug 1, 1999 | |
| Amy Jo Newlun |
Corporate Director |
Oct 27, 2016 | |
| Jonnetta Gadson |
Corporate Director |
Apr 28, 2022 | |
| Hopewell Health Centers, Inc. |
5% Or Greater Direct Ownership Interest | Apr 9, 2013 | 100% |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Hopewell Health Centers, Inc. |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 9, 2013 |
| Hopewell Health Centers, Inc. |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 9, 2013 |
| Hopewell Health Centers, Inc. |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 9, 2013 |
| Hopewell Health Centers, Inc. |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 9, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230419000104 | OH | Part a Provider - Federally Qualified Health Center (FQHC) | 9234049990 | Practice locations: Marietta, OH |
National Provider Directory
- Tax ID family
- Family Health Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
207 Colegate Dr Ste D
Marietta, OH 45750-2363
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
Other providers in Marietta, OH
- Mark Holland
- Christina Florence Holt
- Michael Ray Holtgrewe
- Joni Hood
- Hopewell Health Centers, Inc.
- Elizabeth Hopp
- Crystal M Hopper
- Briana Lynn Houle
- Kayla Howard
- Derek Wesley Howe
All providers in Marietta, OH · Federally Qualified Health Center (FQHC) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.