NPIMap

Organization Active NPI

Christian Community Health Services

Doing business as Crossroad Health Center Taft

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
National Provider Identifier
1811446834
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
Doing business as
Crossroad Health Center Taft
Practice address
270 Southern Ave
Cincinnati, OH 45219-3023
Phone
(513) 363-5624
Fax
(513) 363-5622
NPI assigned
Oct 3, 2016
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIAN COMMUNITY HEALTH SERVICESAs reported in NPPES

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

270 Southern Ave
Cincinnati, OH 45219-3023

Mailing address

1712 Race St
Cincinnati, OH 45202-6814
Phone (513) 363-5624

Other identifiers 1

IdentifierTypeStateIssuer
0192498MedicaidOH

Other names 1

  • Crossroad Health Center Taft 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
O20250428003174 OH Part A Provider - Federally Qualified Health Center (FQHC) 7517966211 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811446834. Details of each certification follow.

Federally qualified health center certification: CCN D21083

Legal name
CHRISTIAN COMMUNITY HEALTH SERVICES
Doing business as
CROSSROAD HEALTH CENTER TAFT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 21, 2025
Last certification
May 21, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
270 Southern Ave
Cincinnati, OH 45219-3023

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
Part of
Christian Community Health

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 DirectorBoard of Director Jan 1, 2025
Roger Howell Individual Corporate Director Jan 1, 2025
Kimberly Schaefer Individual Corporate DirectorBoard of Directors Jan 1, 2025
Monica Wilkins Individual Corporate DirectorBoard of Director Jan 1, 2025
Steve Smith Individual Corporate DirectorBoard of Directors Jan 1, 2025
Celeste Dunlap Individual Corporate DirectorBoard of Directors Jan 1, 2025
Jenny Perez Individual Corporate DirectorBoard of Directors Jan 1, 2025
Chad Burnet Individual Corporate DirectorBoard of Directors Jan 1, 2025
James J Berrens Individual Corporate OfficerCeo Jan 1, 2025
W-2 Managing EmployeeCeo Jan 1, 2025
Pablo Martinez Individual Corporate DirectorBoard of Directors Jan 1, 2025
Steve Bester Individual Corporate DirectorBoard of Directors Jan 1, 2025
Timothy Vale Individual Corporate OfficerCfo Jan 1, 2025
W-2 Managing EmployeeCfo Jan 1, 2025
Kimberly a Johnson Individual Corporate DirectorBoard of Directors Jan 1, 2025
Kathleen M Wilson Individual Corporate DirectorBoard of Directors Jan 1, 2025

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1811446834",
    "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": "452026814",
            "telephone_number": "513-363-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SOUTHERN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452193023",
            "telephone_number": "513-363-5624",
            "fax_number": "513-363-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN COMMUNITY HEALTH SERVICES",
        "enumeration_date": "2016-10-03",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192498",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroad Health Center Taft",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroad Health Center Taft",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.