Organization
HOPEWELL HEALTH CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A BRIDENBAUGH (CHIEF EXECUTIVE OFFICER)
(740) 773-4366
Entity
Organization
Contact information
Practice address
1049 WESTERN AVE, CHILLICOTHE, OH 45601-1104
(740) 773-4366
(740) 775-7855
Mailing address
1049 WESTERN AVE, CHILLICOTHE, OH 45601-1104
(740) 773-4366
(740) 775-7855
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247343
—
OH
05
—
0836635
—
OH
Enumeration date
11/01/2005
Last updated
02/21/2014
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