NPIMap

Organization Active NPI

Rocking Horse Childrens Health Center

Doing business as Rocking Horse Center

  • Federally Qualified Health Center (FQHC)
  • Springfield, OH
National Provider Identifier
1912450495
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ROCKING HORSE CHILDRENS HEALTH CENTER
Doing business as
Rocking Horse Center
Rocking Horse Center Mulberry FQHC
Rocking Horse Community Health Center1 more in Other names
Practice address
120 W Mulberry St
Springfield, OH 45506-1666
Phone
(937) 328-7264
Fax
(937) 525-4543
NPI assigned
Aug 1, 2016
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Shonda E Wallace
Title
Chief Financial Officer
Phone
(937) 324-1111

Specialties & licenses 1

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

Addresses

Primary practice location

120 W Mulberry St
Springfield, OH 45506-1666

Mailing address

651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 324-1111

Other identifiers 1

IdentifierTypeStateIssuer
0189630MedicaidOH

Other names 4

  • Rocking Horse Center Doing business as
  • Rocking Horse Center Mulberry FQHC Doing business as
  • Rocking Horse Community Health Center Doing business as
  • Rocking Horse Community Health Center Mulberry FQHC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160927000731 OH Part A Provider - Federally Qualified Health Center (FQHC) 4789653890 Practice locations: Springfield, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912450495. Details of each certification follow.

Federally qualified health center certification: CCN 361113

Legal name
ROCKING HORSE CHILDRENS HEALTH CENTER
Doing business as
ROCKING HORSE COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 27, 2016
Last certification
Sep 27, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 19, 1998 in OH
Enrollment address
120 W Mulberry St
Springfield, OH 45506-1666

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Rhchc - Pharmacy23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

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
Yamini Venkata Teegala Individual Corporate OfficerCeo Oct 1, 2013
W-2 Managing Employee Sep 1, 2007
Nora Chasnov Individual W-2 Managing EmployeeAd; Jan 26, 2026
Carol D Barlage Individual Corporate OfficerCmo Mar 1, 2024
W-2 Managing Employee Jan 28, 2013
Candace Copeland Individual Corporate OfficerBoard Member Aug 1, 2016
James Doyle Individual Corporate OfficerBoard Member Aug 1, 2016
Victoria Richards Individual Corporate OfficerBoard Member Jan 1, 2018
Rocking Horse Childrens Health Center Organization, Springfield, OH Corporation, Non-profit Operational/Managerial Control Sep 27, 2016 100%
John Wesley Babian Individual Corporate OfficerBoard Member May 1, 2016
Angela Whitt Individual W-2 Managing EmployeeAd; Mar 9, 2026
Shonda Wallace Individual Corporate OfficerCfo Feb 22, 2002
W-2 Managing Employee Feb 22, 2002
Stacy M Lee Individual Corporate OfficerCoo Mar 1, 2023
Corporate DirectorDoo Jul 6, 2009
W-2 Managing Employee Mar 26, 2001

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Rocking Horse Community Health CenterSpringfield, OH, CCN 361947 Federally qualified health center Operational/Managerial Control (100%) Mar 17, 2009
Rocking Horse Community Health CenterLondon, OH, CCN 361079 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2015
Rocking Horse Community Health CenterSpringfield, OH, CCN 361117 Federally qualified health center Operational/Managerial Control (100%) Mar 17, 2009
Rocking Horse Community Health CenterSpringfield, OH, CCN D21047 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2024

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1912450495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051965",
            "telephone_number": "937-324-1111",
            "fax_number": "937-525-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MULBERRY ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455061666",
            "telephone_number": "937-328-7264",
            "fax_number": "937-525-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKING HORSE CHILDRENS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "937-324-1111"
    },
    "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": "0189630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocking Horse Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocking Horse Center Mulberry FQHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocking Horse Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocking Horse Community Health Center Mulberry FQHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.