COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC. (NPI# 1194071050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194071050 |
| Entity Type | Organization |
| Organization Name | COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC. |
| Other Organization Name | PRIMARYONE HEALTH |
| Practice Address |
1791 Alum Creek Dr Ste 100 Columbus OH 43207 |
| Mailing Address |
2780 Airport Dr Ste 100 Columbus OH 43219-2289 |
| Practice Telephone | 6145265420 |
| Practice Fax Number | 6145265421 |
| Mailing Telephone | 6146455500 |
| Mailing Fax Number | 6146455517 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | BRIGID L EVERHART (COMPLIANCE MANAGER) |
| Authorized Official Telephone | 6146455500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0091052 | 05 | |
| OH | CMS CERTIFICATION NUMBER (CCN) PART A | 361025 | 01 |
| OH | CLIA | 36D2050327 | 01 |
| Other Name | Type Code |
|---|---|
| PrimaryOne Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538569827 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 4661 Sawmill Rd Ste 101, Columbus, OH 43220-6123 | 2014-08-25 |
| 1902088354 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 2780 Airport Dr Ste 100, Columbus, OH 43219-2289 | 2007-11-28 |
| 1154485910 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 3781 S High St, Columbus, OH 43207-4011 | 2006-12-19 |
| 1235780305 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 720 E Broad St Ste 100, Columbus, OH 43215-3989 | 2019-09-20 |
| 1245712769 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 1289 E Livingston Ave, Columbus, OH 43205-2838 | 2018-08-31 |
| 1952882805 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 1289 E Livingston Ave, Columbus, OH 43205-2838 | 2018-08-28 |
| 1578985453 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 600 N Pickaway St, Suite 300 Mo Building, Circleville, OH 43113-1447 | 2014-01-13 |
| 1710310594 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 1905 Parsons Ave, Columbus, OH 43207 | 2013-08-15 |
| 1720324064 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 240 Parsons Ave, Columbus, OH 43215 | 2012-12-13 |
| 1578629937 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 1180 E Main St, Columbus, OH 43205-1902 | 2006-12-29 |
| Street Address |
1791 ALUM CREEK DR STE 100 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174081822 | Dominique Terence Jackson | Nurse Practitioner | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 | 2019-03-12 |
| 1982199675 | Clayton A Frederick | Registered Nurse | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207-1708 | 2018-06-26 |
| 1215427679 | Grace Lucile Gotschall | Clinic/Center | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207-1708 | 2018-05-11 |
| 1194213645 | Rachel Bishop | Social Worker | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 | 2018-04-30 |
| 1962897769 | Laura Lynn Mcneil | Nurse Practitioner | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 | 2015-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947913 | Mary Elise Hanks | Internal Medicine | Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 | 2018-03-27 |
| 1699279323 | Timothy Ming-li Pian | Internal Medicine | Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 | 2018-03-19 |
| 1093245763 | Royce Scott | Home Health | 254 E. Barthman Ave, Columbus, OH 43207 | 2017-06-15 |
| 1497207930 | Vernon C Murphy Jr. | Counselor | 1430 S High St Suite 112, Columbus, OH 43207 | 2016-11-01 |
| 1669825931 | Ayamba Roselyn Tanyi | Social Worker | 1791 Alum Creek Drive, Columbus, OH 43207 | 2016-07-21 |
| 1629421268 | Tiffany Dawn Hinkle | Counselor | 1430 S. High St, Suite 112, Columbus, OH 43207 | 2016-07-19 |
| 1457714933 | Matthew Isaac Lyons | Internal Medicine | 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2016-04-01 |
| 1053712976 | A Plus Children's Academy Community School | Local Education Agency (LEA) | 110 Obetz Rd., Columbus, OH 43207 | 2014-09-10 |
| 1407274301 | William Hamilton Marshall V | Student in an Organized Health Care Education/Training Program | 1405 South High St, South High Primary Care Center, Columbus, OH 43207 | 2014-03-29 |
| 1912249665 | Laura Romcevich | Internal Medicine | 700 Children's Dr. Ed650a, Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2013-03-20 |
| Find all providers in zip 43207 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1033752688 | Heart of Ohio Family Health Centers | Clinic/Center | 5969 E Broad St Ste 306, Columbus, OH 43213-1539 | 2019-10-25 |
| 1437621331 | Lutheran Social Services of Central Ohio | Clinic/Center | 2225 N. Cassady Avenue, Columbus, OH 43219-4321 | 2018-12-18 |
| 1972020899 | Osu Family Practice Services | Clinic/Center | 181 Taylor Ave Ste 1203, Columbus, OH 43203-1779 | 2017-08-23 |
| 1578083234 | Heart of Ohio Family Health Centers | Clinic/Center | 5560 Chantry Dr, Columbus, OH 43232-4767 | 2017-06-23 |
| 1811434483 | Columbus Neighborhood Health Center | Clinic/Center | 1800 Watermark Dr Ste 420, Columbus, OH 43215-1072 | 2017-01-20 |
| 1982152799 | Southeast, Inc. | Clinic/Center | 924 E Main St, Columbus, OH 43205-2338 | 2016-09-21 |
| 1538569827 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 4661 Sawmill Rd Ste 101, Columbus, OH 43220-6123 | 2014-08-25 |
| 1609284470 | Southeast, Inc. | Clinic/Center | 595 Van Buren Dr, Columbus, OH 43223-2230 | 2014-07-24 |
| 1962789222 | Southeast, Inc. | Clinic/Center | 315 E Long St, Columbus, OH 43215-1828 | 2011-11-14 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.