NPIMap

Organization Active NPI

Ohio Hills Health Services

Doing business as Monroe Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Woodsfield, OH
National Provider Identifier
1871534677
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OHIO HILLS HEALTH SERVICES
Doing business as
Monroe Family Health Center
Ohio Hills Health Center Woodsfield
Practice address
584 Lewisville Rd
Woodsfield, OH 43793-9227
Phone
(740) 239-6447
NPI assigned
Jun 10, 2006
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO HILLS HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Mr. Jeffrey Britton
Title
Executive Director
Phone
(740) 239-6447

Specialties & licenses 1

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

Addresses

Primary practice location

584 Lewisville Rd
Woodsfield, OH 43793-9227

Mailing address

101 E Main St
Barnesville, OH 43713-1005
Phone (740) 239-6447

Other identifiers 2

IdentifierTypeStateIssuer
0824237MedicaidOH
OH3618291OtherOHMEDICARE FQHC PIN

Other names 2

  • Monroe Family Health Center Doing business as
  • Ohio Hills Health Center Woodsfield Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080207000347 OH Part A Provider - Federally Qualified Health Center (FQHC) 7113990177 Practice locations: Woodsfield, OH
O20140807002203 OH Part B Supplier - Clinic/Group Practice 7113990177 Receives reassigned benefits from 21 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Clairsville, OH; Woodsfield, OH; Quaker City, OH; Freeport, OH; Bellaire, OH; Barnesville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871534677. Details of each certification follow.

Federally qualified health center certification: CCN 361829

Legal name
OHIO HILLS HEALTH SERVICES
Doing business as
MONROE FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jan 22, 1973 in OH
Enrollment address
584 Lewisville Rd
Woodsfield, OH 43793-9227

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 7

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

National Provider Directory

National Provider Directory
Part of
Ohio Hills Health Servi

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Brad Hudson Individual Corporate DirectorBoard Member Mar 23, 2009
Robert Koch Individual Corporate DirectorBoard Member Jul 23, 2018
Tim McKelvey Individual Corporate DirectorBoard Member Jun 19, 2017
Robert Aaron Brewer Individual W-2 Managing EmployeeMD; Dec 1, 2021
Deborah Kaye Day Individual Corporate DirectorBoard Member Dec 1, 2022
Timothy R Hall Individual Corporate DirectorBoard Member Dec 1, 2022
Charles Bardall Individual Corporate DirectorBoard Member May 1, 1976
Brent Tisher Individual Corporate DirectorBoard Member Feb 1, 2010
Himalaya Patcha Individual Corporate DirectorMedical Director Jan 1, 2020
W-2 Managing EmployeeMedical Director Jan 1, 2020
Michael Carpenter Individual Corporate OfficerCoo Nov 16, 2017
W-2 Managing EmployeeCoo Nov 16, 2017
Leslie Tickhill Individual Corporate DirectorBoard Member Apr 1, 2018
Matthew a King Individual Corporate DirectorBoard Member Dec 12, 2022
Linda Jordan Individual Corporate DirectorBoard Member Dec 1, 2022
Donna Secrest Individual Corporate DirectorBoard Member May 21, 2012
Jeff Britton Individual Corporate OfficerCeo Dec 15, 2014

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1871534677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131005",
            "telephone_number": "740-239-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 LEWISVILLE RD",
            "city": "WOODSFIELD",
            "state": "OH",
            "postal_code": "437939227",
            "telephone_number": "740-239-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO HILLS HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO HILLS HEALTH SERVICES",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-239-6447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0824237",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FQHC PIN",
            "identifier": "OH3618291",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ohio Hills Health Center Woodsfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodsfield, OH

Sources for this page

Verify at the official NPI Registry.