NPIMap

Organization Active NPI

Knox County General Health District

Doing business as Centerburg Health Center

  • Federally Qualified Health Center (FQHC)
  • Centerburg, OH
National Provider Identifier
1841173515
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KNOX COUNTY GENERAL HEALTH DISTRICT
Doing business as
Centerburg Health Center
Practice address
3782 Columbus Rd
Centerburg, OH 43011-9475
Phone
(740) 399-8008
Fax
(740) 399-8012
NPI assigned
Jul 29, 2025
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
KNOX COUNTY GENERAL HEALTH DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Zach S Green
Title
Health Commissioner
Phone
(740) 392-2200

Specialties & licenses 1

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

Addresses

Primary practice location

3782 Columbus Rd
Centerburg, OH 43011-9475

Mailing address

3782 Columbus Rd
Centerburg, OH 43011-9475
Phone (740) 399-8008

Other names 1

  • Centerburg Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251202002080 OH Part A Provider - Federally Qualified Health Center (FQHC) 8820078595 Practice locations: Centerburg, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841173515. Details of each certification follow.

Federally qualified health center certification: CCN D21104

Legal name
KNOX COUNTY GENERAL HEALTH DISTRICT
Doing business as
CENTERBURG HEALTH CENTER
Organization structure
GovernmentNon-profit
Enrollment address
3782 Columbus Rd
Centerburg, OH 43011-9475

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Knox County General HLT10 organizations share this tax ID, including this one
Part of
Knox County General HLT

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3782 Columbus Rd
Centerburg, OH 43011
Phone (740) 399-8008

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Zachary Green Individual Corporate OfficerSecretary of the Board of Health Jul 1, 2022
W-2 Managing EmployeeHealth Commissioner Jul 1, 2022
Jeff Harmer Individual Corporate OfficerPresident of the Board of Health Jul 1, 2022
Knox County General Health District Organization, Centerburg, OH 5% Or Greater Direct Ownership Interest Sep 1, 2025 100%

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Knox County Community Health CenterMount Vernon, OH, CCN 361130 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017
Danville Community Health CenterDanville, OH, CCN 721843 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 18, 2019
Knox County DentalDanville, OH, CCN 721883 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 11, 2021
Kcchc Walk-in ClinicMount Vernon, OH, CCN 721964 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Security Interest (100%)		 Jan 1, 2022
Jan 1, 2022
Behavioral Health of Mount Vernon Health CenterMount Vernon, OH, CCN 721977 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Security Interest (100%)		 Jan 1, 2022
Jan 1, 2022
Mount Vernon Health CenterMount Vernon, OH, CCN D21026 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1841173515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3782 COLUMBUS RD",
            "city": "CENTERBURG",
            "state": "OH",
            "postal_code": "430119475",
            "telephone_number": "740-399-8008",
            "fax_number": "740-399-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3782 COLUMBUS RD",
            "city": "CENTERBURG",
            "state": "OH",
            "postal_code": "430119475",
            "telephone_number": "740-399-8008",
            "fax_number": "740-399-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX COUNTY GENERAL HEALTH DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KNOX COUNTY GENERAL HEALTH DISTRICT",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ZACH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "740-392-2200"
    },
    "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": "Centerburg Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerburg, OH

Sources for this page

Verify at the official NPI Registry.