NPIMap

Organization Active NPI

Muskingum Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Zanesville, OH
National Provider Identifier
1841472982
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MUSKINGUM VALLEY HEALTH CENTERS
Practice address
716 Adair Ave
Zanesville, OH 43701-2836
Phone
(740) 891-9000
Fax
(740) 891-9001
NPI assigned
Nov 30, 2007
Last updated
Nov 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Mr. Daniel J Atkinson
Title
Ceo
Phone
(740) 891-9000

Specialties & licenses 1

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

Addresses

Primary practice location

716 Adair Ave
Zanesville, OH 43701-2836

Mailing address

716 Adair Ave
Zanesville, OH 43701-2836
Phone (740) 891-9000

Other identifiers 1

IdentifierTypeStateIssuer
2790583MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080417000283 OH Part A Provider - Federally Qualified Health Center (FQHC) 4789760216 Practice locations: Zanesville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841472982. Details of each certification follow.

Federally qualified health center certification: CCN 361926

Legal name
MUSKINGUM VALLEY HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 6, 2008
Last certification
May 6, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 9, 2007 in OH
Enrollment address
716 Adair Ave
Zanesville, OH 43701-2836

Other NPIs with the same Medicare PAC ID 14

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

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Muskingum Valley Health Centers30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

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
Rhonda Smith Individual Corporate DirectorDirector Jan 1, 2013
Shelley McPeek Individual Corporate DirectorDirector Apr 21, 2015
Dean Wright Individual Corporate DirectorDirector Jan 1, 2013
Jim Wilson Individual Corporate DirectorDirector Nov 17, 2015
Daniel Atkinson Individual Corporate OfficerCeo May 30, 2011
Corporate Director May 30, 2011
W-2 Managing EmployeeCeo May 30, 2011
Operational/Managerial ControlCeo May 30, 2011
Stephanie Neuhart Individual Corporate DirectorDirector Feb 26, 2019
Rebecca Carr Individual Corporate OfficerCfo Jan 1, 2012
W-2 Managing EmployeeCfo Jan 1, 2012
Operational/Managerial ControlCfo Jan 1, 2012
Jason Heins Individual Corporate DirectorChair Jan 1, 2013
Joe Hunt Individual Corporate DirectorDirector Feb 26, 2019
Dave Wilson Individual Corporate DirectorDirector Jan 1, 2022
Susan Small Individual Corporate DirectorDirector Jan 1, 2013

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1841472982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 ADAIR AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012836",
            "telephone_number": "740-891-9000",
            "fax_number": "740-891-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 ADAIR AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012836",
            "telephone_number": "740-891-9000",
            "fax_number": "740-891-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKINGUM VALLEY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-891-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "2790583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.