Rocking Horse Childrens Health Center
Organization Active NPI Clinic/Center · Springfield, OH
NPI 1992850648 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1992850648
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ROCKING HORSE CHILDRENS HEALTH CENTER
- Practice address
- 651 S Limestone St
Springfield, OH 45505-1965 - Phone
- (937) 324-1111
- Fax
- (937) 525-4543
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Shonda Wallace
- Title
- Chief Financial Officer
- Phone
- (937) 324-1111
Owned or controlled facilities with NPI records 5
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 6
Practitioners 80
-
Caroline M Archer Howe, LISW
-
Jeffrey D Asper, APRN-CNP
-
Carol D Barlage, MD
-
Katy Michelle Cardoza, APRN, FNP-C
-
Amrit Lal Chadha, MD
-
Amy B Doyle, APRN-CNP
-
Amber Renee Eiting, APRN-CNP
-
Brittany N Elsass, 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
-
Rebecca L McCarthy, PMHNP
-
Emlyn N Nokes, LPCC
-
Jenny L Oliver, LPCC
-
Brenton A Perkins, APRN-CNP
-
Sherri L Powell, APRN-CNP
-
Peter J Seivers, APRN-CNP, DNP
-
Marcy L Smith, LPCC-S
-
Sheila M Tarwater, PA-C
-
Yamini V Teegala, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
All facility ownership & control disclosures 5
| 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%) | Sep 27, 2016 |
| 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 |
|---|---|---|---|---|
| O20040927000364 | OH | Part B Supplier - Clinic/Group Practice | 4789653890 |
Receives reassigned benefits from 53 practitioners 1 other NPI on this enrollment Practice locations: Springfield, OH; London, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | |||
| Clinic/Center | 261Q00000X | Yes | ||
| Dental Clinic/Center | 261QD0000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X |
Addresses
Primary practice location
651 S Limestone St
Springfield, OH 45505-1965
Mailing address
651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 324-1111
Other practice location 1
212 N Main St
London, OH 43140-1115
Phone (740) 845-7286
Other practice location 2
701 E Home Rd
Springfield, OH 45503-2714
Phone (937) 324-1111
Other practice location 3
601 Selma Rd
Springfield, OH 45505-2034
Phone (937) 324-7423
Other practice location 4
120 W Mulberry St
Springfield, OH 45506-1666
Phone (937) 328-7264
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2187744 | Medicaid | OH |
Other names
- ROCKING HORSE CENTER
- ROCKING HORSE COMMUNITY HEALTH CENTER
Other providers in Springfield, OH
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.