FIVE RIVERS HEALTH CENTERS (NPI# 1962840884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962840884 |
| Entity Type | Organization |
| Organization Name | FIVE RIVERS HEALTH CENTERS |
| Practice Address |
30 E Apple St Ste L204 Dayton OH 45409 |
| Mailing Address |
2261 Philadelphia Dr Dayton OH 45406-1814 |
| Practice Telephone | 9372082704 |
| Mailing Telephone | 9377346841 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | GINA MCFARLANE-EL (CEO) |
| Authorized Official Telephone | 9377346841 |
| 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 | 0110907 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 E Apple St, Suite L204, Dayton, OH 454092939 | 9377346841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302188 | Five Rivers Health Centers | Counselor | 120 W Apple St Ste 100, Dayton, OH 45402-2617 | 2020-09-30 |
| 1730722570 | Five Rivers Health Centers | Clinic/Center | 1923 W 3rd St, Dayton, OH 45417-2565 | 2019-10-24 |
| 1982102919 | Five Rivers Health Centers | Counselor | 3908 Wilmington Pike, Dayton, OH 45429-5053 | 2018-01-24 |
| 1902169329 | Five Rivers Health Centers | Clinic/Center | 161 Wyoming St, Dayton, OH 45409-2741 | 2012-06-20 |
| 1366705980 | Five Rivers Health Centers | Clinic/Center | 1 Apple Street, Dayton, OH 45409 | 2012-06-19 |
| 1871190728 | Five Rivers Health Centers | Clinic/Center | 120 W Apple St Ste 100, Dayton, OH 45402-2617 | 2020-10-05 |
| 1851934525 | Five Rivers Health Centers | Counselor | 1923 W 3rd St, Dayton, OH 45417-2565 | 2019-10-24 |
| 1548803752 | Five Rivers Health Centers | Clinic/Center | 3594 N Snyder Rd, Dayton, OH 45426-3835 | 2019-10-21 |
| 1306489521 | Five Rivers Health Centers | Counselor | 3594 N Snyder Rd, Dayton, OH 45426-3835 | 2019-10-21 |
| 1710530886 | Five Rivers Health Centers | Pharmacy | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2019-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FIVE RIVERS HEALTH CENTERS | 2261 Philadelphia Dr Ste 200, Dayton, OH 45406-1814 |
| Street Address |
30 E APPLE ST STE L204 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| 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 |
|---|---|---|---|---|
| 1124633193 | Community Health Centers of Greater Dayton | Clinic/Center | 3805 Kings Hwy Rm C, Dayton, OH 45406-3577 | 2020-09-15 |
| 1730722570 | Five Rivers Health Centers | Clinic/Center | 1923 W 3rd St, Dayton, OH 45417-2565 | 2019-10-24 |
| 1902169329 | Five Rivers Health Centers | Clinic/Center | 161 Wyoming St, Dayton, OH 45409-2741 | 2012-06-20 |
| 1366705980 | Five Rivers Health Centers | Clinic/Center | 1 Apple Street, Dayton, OH 45409 | 2012-06-19 |
| 1356553267 | Ocoee Regional Health Corporation | Clinic/Center | 8850 Rhea County Highway, Dayton, TN 37321-1036 | 2007-05-04 |
| 1871190728 | Five Rivers Health Centers | Clinic/Center | 120 W Apple St Ste 100, Dayton, OH 45402-2617 | 2020-10-05 |
| 1548803752 | Five Rivers Health Centers | Clinic/Center | 3594 N Snyder Rd, Dayton, OH 45426-3835 | 2019-10-21 |
| 1497316855 | Butler County Community Health Consortium Inc | Clinic/Center | 300 Forest Ave, Dayton, OH 45405-4500 | 2019-06-26 |
| 1831663038 | Healthpoint Family Care, Inc. | Clinic/Center | 701 5th Ave, Dayton, KY 41074-1301 | 2019-01-22 |
| 1255846515 | Equitas Health, Inc | Clinic/Center | 1222 S Patterson Blvd Ste 230, Dayton, OH 45402-2643 | 2017-12-08 |
| Find all providers in DAYTON | ||||
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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.