NPIMap

Organization Active NPI

Columbus Neighborhood Health Center Inc

Doing business as PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
National Provider Identifier
1811747207
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
Doing business as
PrimaryOne Health
Practice address
3480 Refugee Rd
Columbus, OH 43232-4814
Phone
(614) 235-4039
Fax
(614) 235-4021
NPI assigned
Mar 26, 2024
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS NEIGHBORHOOD HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Johnetta Ridgeway
Title
Provider Enrollment Coordinator
Phone
(614) 859-1906

Specialties & licenses 1

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

Addresses

Primary practice location

3480 Refugee Rd
Columbus, OH 43232-4814

Mailing address

3433 Agler Rd Ste 2800
Columbus, OH 43219-3389
Phone (614) 859-1906

Other identifiers 2

IdentifierTypeStateIssuer
0047376MedicaidOH
36D2301720OtherOHCLIA

Other names 1

  • PrimaryOne Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240711003172 OH Part A Provider - Federally Qualified Health Center (FQHC) 3678469129 Practice locations: Columbus, OH
O20241015003290 OH Part B Supplier - Clinic/Group Practice 3678469129 Receives reassigned benefits from 10 practitioners
Practice locations: Columbus, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811747207. Details of each certification follow.

Federally qualified health center certification: CCN D21038

Legal name
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 11, 2024
Last certification
Jul 11, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
3480 Refugee Rd
Columbus, OH 43232-4814

Other NPIs with the same Medicare PAC ID 8

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2301720Primaryone Health Refugee Rd3480 Refugee Road, Columbus, OH 43232Certificate of waiverMar 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Cols Neigh Health Cente8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

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
David Sanchez Individual Corporate DirectorBoard of Director Jun 1, 2024
Gene Steffen Individual Corporate OfficerInterim Cfo Jan 20, 2026
Jennifer Beard Individual Corporate DirectorBoard of Director Jun 1, 2024
Liza Paul Individual Corporate DirectorBoard of Director Jun 1, 2024
Johnetta Ridgeway Individual W-2 Managing Employee Jun 1, 2024
Caitlin Purk Individual Corporate DirectorBoard of Director Jun 1, 2024
Eric Wu Individual Corporate DirectorBoard of Director Jun 1, 2024
Ephraim Laidley Individual Corporate DirectorBoard of Director Jun 1, 2024
Emily Fisher Individual Corporate DirectorBoard of Director Jun 1, 2024
Dustin McKee Individual Corporate DirectorBoard of Director Jun 1, 2024
Adrian Fredrick Individual Corporate DirectorBoard of Director Jun 1, 2024

Practitioners & affiliated clinicians

Practitioners 11

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": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1811747207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD STE 2800",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193389",
            "telephone_number": "614-859-1906",
            "fax_number": "614-458-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 REFUGEE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324814",
            "telephone_number": "614-235-4039",
            "fax_number": "614-235-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS NEIGHBORHOOD HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS NEIGHBORHOOD HEALTH CENTER INC",
        "enumeration_date": "2024-03-26",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "614-859-1906"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047376",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D2301720",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimaryOne Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PrimaryOne Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.