Rocking Horse Childrens Health Center
Organization Active NPI Federally Qualified Health Center (FQHC) · Springfield, OH
NPI 1912450495 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1912450495
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ROCKING HORSE CHILDRENS HEALTH CENTER
- Practice address
- 120 W Mulberry St
Springfield, OH 45506-1666 - Phone
- (937) 328-7264
- Fax
- (937) 525-4543
- NPI assigned
- Aug 1, 2016
- Organization subpart
- No
Authorized official
- Name
- Shonda E Wallace
- Title
- Chief Financial Officer
- Phone
- (937) 324-1111
Owners & managing parties with NPI records 8
-
Carol D Barlage, MD
-
Yamini V Teegala, MD
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 22
Facilities with the same owner 4
Practitioners 43
-
Katy Michelle Cardoza, APRN, FNP-C
-
Amber Renee Eiting, APRN-CNP
-
Brittany N Elsass, APRN-CNP
-
Rebecca L McCarthy, PMHNP
-
Jenny L Oliver, LPCC
-
Peter J Seivers, APRN-CNP, DNP
-
Sheila M Tarwater, PA-C
-
Caroline M Archer Howe, LISW
-
Jeffrey D Asper, APRN-CNP
-
Carol D Barlage, MD
-
Amrit Lal Chadha, MD
-
Amy B Doyle, APRN-CNP
-
Mackenzie A Engle, APRN-CNP
-
Kelly S Fischer, LISW
-
Robert A Fitzwater, LPCC-S
-
Diana Maria Gonzales Pow Sang, LISW-S
-
Jennifer M Hazelton, APRN-CNP
-
Rachel R Litteral, APRN-CNP
-
Emlyn N Nokes, LPCC
-
Brenton A Perkins, APRN-CNP
-
Sherri L Powell, APRN-CNP
-
Marcy L Smith, LPCC-S
-
Yamini V Teegala, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
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
- Corporation · Non-profit
- Incorporated
- Mar 19, 1998 in OH
- Enrollment address
- 120 W Mulberry St
Springfield, OH 45506-1666
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Yamini Venkata Teegala |
Corporate Officer |
Oct 1, 2013 | |
| W-2 Managing Employee | Sep 1, 2007 | ||
| Nora Chasnov |
W-2 Managing Employee |
Jan 26, 2026 | |
| Carol D Barlage |
Corporate Officer |
Mar 1, 2024 | |
| W-2 Managing Employee | Jan 28, 2013 | ||
| Candace Copeland |
Corporate Officer |
Aug 1, 2016 | |
| James Doyle |
Corporate Officer |
Aug 1, 2016 | |
| Victoria Richards |
Corporate Officer |
Jan 1, 2018 | |
| Rocking Horse Childrens Health Center |
Operational/Managerial Control | Sep 27, 2016 | 100% |
| John Wesley Babian |
Corporate Officer |
May 1, 2016 | |
| Angela Whitt |
W-2 Managing Employee |
Mar 9, 2026 | |
| Shonda Wallace |
Corporate Officer |
Feb 22, 2002 | |
| W-2 Managing Employee | Feb 22, 2002 | ||
| Stacy M Lee |
Corporate Officer |
Mar 1, 2023 | |
| Corporate Director |
Jul 6, 2009 | ||
| W-2 Managing Employee | Mar 26, 2001 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Rocking Horse Community Health Center |
Federally qualified health center | Operational/Managerial Control (100%) | Mar 17, 2009 |
| Rocking Horse Community Health Center |
Federally qualified health center | Operational/Managerial Control (100%) | Aug 1, 2015 |
| Rocking Horse Community Health Center |
Federally qualified health center | Operational/Managerial Control (100%) | Mar 17, 2009 |
| Rocking Horse Community Health Center |
Federally qualified health center | Operational/Managerial Control (100%) | Aug 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160927000731 | OH | Part a Provider - Federally Qualified Health Center (FQHC) | 4789653890 | Practice locations: Springfield, OH |
National Provider Directory
- Tax ID family
- Rhchc - Pharmacy
Locations
601 Selma Rd
Springfield, OH 45505
Phone (937) 324-7423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0189630 | Medicaid | OH |
Other names
- Rocking Horse Center
- Rocking Horse Center Mulberry FQHC
- Rocking Horse Community Health Center
- Rocking Horse Community Health Center Mulberry FQHC
Other providers in Springfield, OH
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- Rod E. Batie, D.O., Inc.
All providers in Springfield, OH · Federally Qualified Health Center (FQHC) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.