NPIMap

Organization Active NPI

Columbus Neighborhood Health Center Inc

Doing business as PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
National Provider Identifier
1881756526
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
1500 E 17TH Ave
Columbus, OH 43219-1002
Phone
(614) 645-2700
Fax
(614) 645-2727
NPI assigned
Dec 15, 2006
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

1500 E 17TH Ave
Columbus, OH 43219-1002

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
36D0329161OtherOHCLIA
2161913MedicaidOH

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
O20140721000618 OH Part B Supplier - Clinic/Group Practice 3678469129 Receives reassigned benefits from 120 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Circleville, OH
O20250625002643 OH Part A Provider - Federally Qualified Health Center (FQHC) 3678469129 Practice locations: Columbus, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881756526. Details of each certification follow.

Federally qualified health center certification: CCN D21092

Legal name
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
Doing business as
PRIMARYONE HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 25, 2025
Last certification
Jun 25, 2025
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
1500 E 17TH Ave
Columbus, OH 43219-1002

Other NPIs with the same Medicare PAC ID 8

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.

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
36D0329161Columbus Neighborhood Health1500 East 17TH Avenue, Columbus, OH 43219Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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

1791 Alum Creek Dr
Ste 100
Columbus, OH 43207
Phone (614) 526-5420

1905 Parsons Ave
Columbus, OH 43207
Phone (614) 586-4159

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

4079 Karl Rd
Columbus, OH 43224
Phone (614) 586-4320

4400 Marketing Pl
Ste D
Groveport, OH 43125
Phone (614) 586-4310

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 23, 2025
Gene Steffen Individual Corporate Officer Aug 6, 2025
Jennifer Beard Individual Corporate DirectorBoard of Director Jun 23, 2025
Liza Paul Individual Corporate DirectorBoard of Director Jun 23, 2025
Johnetta Ridgeway Individual W-2 Managing EmployeeProvider Enrollment Coordinator Jun 23, 2025
Caitlin Purk Individual Corporate DirectorBoard of Director Jun 23, 2025
Eric Wu Individual Corporate DirectorBoard of Director Jun 23, 2025
Ephraim Laidley Individual Corporate DirectorBoard of Director Jun 23, 2025
Emily Fisher Individual Corporate DirectorBoard of Director Jun 23, 2025
Dustin McKee Individual Corporate DirectorBoard of Director Jun 23, 2025
Adrian Fredrick Individual Corporate DirectorBoard of Director Jun 23, 2025

Practitioners & affiliated clinicians

Practitioners 104

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 104

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1881756526",
    "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": "1500 E 17TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191002",
            "telephone_number": "614-645-2700",
            "fax_number": "614-645-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS NEIGHBORHOOD HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS NEIGHBORHOOD HEALTH CENTER INC",
        "enumeration_date": "2006-12-15",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D0329161",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2161913",
            "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.