NPIMap

Organization Active NPI

Health Partners of Western Ohio

Doing business as New Carlisle Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New Carlisle, OH
National Provider Identifier
1760640817
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH PARTNERS OF WESTERN OHIO
Doing business as
New Carlisle Community Health Center
Practice address
106 N Main St
New Carlisle, OH 45344-1835
Phone
(937) 667-1122
Fax
(419) 225-8878
NPI assigned
May 27, 2008
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Janis L Sunderhaus, RN, MSN
Title
Ceo
Phone
(419) 221-3072

Specialties & licenses 1

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

Addresses

Primary practice location

106 N Main St
New Carlisle, OH 45344-1835

Mailing address

329 N West St
Lima, OH 45801-4332
Phone (419) 221-3072

Other names 1

  • New Carlisle Community 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
O20071220000155 OH Part A Provider - Federally Qualified Health Center (FQHC) 9436139987 1 other NPI on this enrollment
Practice locations: New Carlisle, OH
O20150313002043 OH Part B Supplier - Clinic/Group Practice 9436139987 Receives reassigned benefits from 153 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Toledo, OH; Tiffin, OH; New Carlisle, OH; Lima, OH; Bryan, OH; Defiance, OH; Harrod, OH; Holland, OH…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760640817. Details of each certification follow.

Federally qualified health center certification: CCN 361927

Legal name
HEALTH PARTNERS OF WESTERN OHIO
Doing business as
NEW CARLISLE COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 12, 2008
Last certification
May 12, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 18, 2002 in OH
Enrollment address
106 N Main St
New Carlisle, OH 45344-1835

Other NPIs with the same Medicare PAC ID 21

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

View all 21

Other NPIs on the same Medicare enrollment 26

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

View all 26

National Provider Directory

National Provider Directory

Locations

5601 Clegg Dr
Toledo, OH 43613
Phone (419) 473-8319

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Janis Sunderhaus Individual Corporate OfficerChief Executive Officer Jul 1, 2003
W-2 Managing EmployeeChief Executive Officer Jul 1, 2003
Operational/Managerial ControlChief Executive Officer Jul 1, 2003
Angel Cowan Individual Corporate DirectorBoard Member Nov 1, 2020
Kimberly Taflinger Individual Corporate OfficerCfo Jan 3, 2025
W-2 Managing EmployeeCfo Jan 3, 2025
Operational/Managerial Control Jan 3, 2025
Joseph a. Dake Individual Corporate DirectorBoard Member Aug 23, 2018
Lorna Simpson Individual Corporate DirectorBoard Member Jan 28, 2016
Arlisa Hall Individual Corporate DirectorBoard Member Jul 22, 2010
Anthony Lester Individual Corporate DirectorBoard Member Oct 27, 2011
John Stanovich Individual Corporate DirectorBoard Member Mar 1, 2014
Daisy Williamson Individual Corporate Director Apr 1, 2024
Rebecca Dershem Individual Corporate DirectorBoard Treasurer Oct 25, 2002
Mary Williamson Individual Corporate DirectorBoard Vice President Oct 25, 2002
William Stolly Individual Corporate DirectorBoard President Oct 28, 2010

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1760640817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072",
            "fax_number": "419-549-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MAIN ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441835",
            "telephone_number": "937-667-1122",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PARTNERS OF WESTERN OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "SUNDERHAUS",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-221-3072",
        "authorized_official_credential": "RN, MSN"
    },
    "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": "New Carlisle Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Carlisle Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Carlisle, OH

Sources for this page

Verify at the official NPI Registry.