NPIMap

Organization Active NPI

Rocking Horse Childrens Health Center

Doing business as Rocking Horse Center

  • Clinic/Center
  • Springfield, OH
National Provider Identifier
1992850648
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ROCKING HORSE CHILDRENS HEALTH CENTER
Doing business as
Rocking Horse Center
Rocking Horse Community 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
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 Wallace
Title
Chief Financial Officer
Phone
(937) 324-1111

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Dental Clinic/Center 261QD0000X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X
General Practice Dentistry 1223G0001X

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 1

IdentifierTypeStateIssuer
2187744MedicaidOH

Other names 2

  • ROCKING HORSE CENTER Doing business as
  • ROCKING HORSE COMMUNITY HEALTH CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 5

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 361113 Federally qualified health center Operational/Managerial Control (100%) Sep 27, 2016
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 5

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

Practitioners & affiliated clinicians

Practitioners 80

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 80

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1992850648",
    "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": "651 S LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051965",
            "telephone_number": "937-324-1111",
            "fax_number": "937-525-4543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 N Main St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "OH",
            "postal_code": "431401115",
            "country_code": "US",
            "telephone_number": "740-845-7286",
            "fax_number": "740-845-7499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Home Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455032714",
            "country_code": "US",
            "telephone_number": "937-324-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Selma Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455052034",
            "country_code": "US",
            "telephone_number": "937-324-7423",
            "fax_number": "937-325-7097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455061666",
            "country_code": "US",
            "telephone_number": "937-328-7264",
            "fax_number": "937-525-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCKING HORSE CHILDRENS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "937-324-1111"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187744",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCKING HORSE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROCKING HORSE COMMUNITY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.