FIVE RIVERS HEALTH CENTERS (NPI# 1710530886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710530886 |
| Entity Type | Organization |
| Organization Name | FIVE RIVERS HEALTH CENTERS |
| Practice Address |
2261 Philadelphia Dr Dayton OH 45406-1814 |
| Practice Telephone | 9378029381 |
| Practice Fax Number | 9376844790 |
| Mailing Telephone | 9378029381 |
| Mailing Fax Number | 9376844790 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | TARA R BROWN (CFO) |
| Authorized Official Telephone | 9377346821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE OF OHIO PHARMACY LICENSE | 0232000111 | 01 |
| Other Name | Type Code |
|---|---|
| Family Health Center Pharmacy | Other Name - Individual/Organization |
| 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 |
| 1962840884 | Five Rivers Health Centers | Clinic/Center | 30 E Apple St Ste L204, Dayton, OH 45409 | 2013-06-13 |
| 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 |
| 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 |
2261 PHILADELPHIA DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45406-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851373286 | Elisabeth Lynn Righter | Family Medicine | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2005-11-21 |
| 1912521741 | Kaitlyn Paige Olsen | Social Worker | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2020-06-08 |
| 1811531957 | Jill Michelle Ohs | Pharmacist | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2019-11-01 |
| 1407317159 | Kirthi Kavya Jetty | Student in an Organized Health Care Education/Training Program | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2019-03-26 |
| 1184110116 | Keishan Lavelle Dorsey | Counselor | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2018-07-02 |
| 1306365382 | Melissa Wilkes | Registered Nurse | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2017-09-11 |
| 1235661851 | Cassandra Olson | Student in an Organized Health Care Education/Training Program | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2017-04-02 |
| 1982053724 | Toni Tipton | Advanced Practice Midwife | 2261 Philadelphia Dr, Suite 200, Dayton, OH 45406-1814 | 2016-06-10 |
| 1841653193 | Sedona Valentine | Student in an Organized Health Care Education/Training Program | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2016-04-04 |
| 1619339033 | Linda Kay Morrison | Registered Nurse | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2016-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942786595 | Lawrence J Harper Jr. | Counselor | 1855 Kipling Dr, Dayton, OH 45406 | 2018-07-17 |
| 1114446937 | James Lee | Licensed Practical Nurse | 1687 Wesleyan Rd., Dayton, OH 45406 | 2017-09-13 |
| 1497280762 | Pam Taylor | Licensed Practical Nurse | 3339 Arlene Ave, Dayton, OH 45406 | 2017-04-25 |
| 1811428543 | Kimberly Hawkins | Licensed Practical Nurse | 3660 Pittsburg Ave, Dayton, OH 45406 | 2017-03-24 |
| 1760839187 | Micah Rejcek | Student in an Organized Health Care Education/Training Program | Five Rivers Family Health Center, 2261 Philadelphia Drive Suite 301, Dayton, OH 45406 | 2016-05-16 |
| 1134505233 | Julia Ahrns | Dietitian, Registered | 2261 Philadelphia Dr., Dayton, OH 45406 | 2015-07-31 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1518285337 | Johwanna Martin | Registered Nurse | 2055 Ravenwood Ave, Dayton, OH 45406 | 2010-05-05 |
| 1003051913 | Fawnette Thomas | Social Worker | 2116 University Place, Dayton, OH 45406 | 2008-12-05 |
| 1043478654 | Mvhe Inc | Hospitalist | 2661 Salem Ave Davue Building, Suite 220, Dayton, OH 45406 | 2008-05-30 |
| Find all providers in zip 45406 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897832 | Logan Conkey | Pharmacy | 405 W Grand Ave, Dayton, OH 45405-7538 | 2019-08-20 |
| 1154502847 | Fidelity Health Care Inc | Pharmacy | 1 Wyoming St, 1st Floor, Dayton, OH 45409-2722 | 2007-11-21 |
| 1902950892 | Fidelity Health Care Inc | Pharmacy | 2222 Philadelphia Dr, Dayton, OH 45406-1813 | 2007-01-22 |
| 1083767750 | Premier Health Pharmacy-good Samaritan North | Pharmacy | 9000 N Main St, Dayton, OH 45415-1180 | 2007-01-18 |
| 1497829923 | Wright State University Pharmacy | Pharmacy | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377578 | Doctors Pharmacy Lima LLC | Pharmacy | 920 W Market St Ste 101, Lima, OH 45805-2776 | 2020-02-06 |
| 1659934644 | Fidelity Health Care Inc | Pharmacy | 2400 Miami Valley Dr Ste 1063, Centerville, OH 45459-4774 | 2019-04-16 |
| 1225435597 | Rakesh Ranjan Md & Associates, Inc. | Pharmacy | 12395 Mccracken Rd Ste A-up (room C), Garfield Hts, OH 44125 | 2014-12-02 |
| 1053748913 | Ashland Hospital Corporation | Pharmacy | 912 Park Ave Ste 105, Ironton, OH 45638-1596 | 2013-10-08 |
| 1164855904 | Medina Hospital | Pharmacy | 1000 E. Washington Str, Medina, OH 44256 | 2013-08-15 |
| 1962743567 | Tpsrx | Pharmacy | 846 S Coy Rd, Oregon, OH 43616-3452 | 2013-03-06 |
| 1801177894 | The Cleveland Clinic Foundation | Pharmacy | 13944 Euclid Avenue, East Cleveland, OH 44112 | 2011-09-02 |
| 1932424272 | Phillips Clinic Pharmacy | Pharmacy | 881 East Main Street Suite 201, Columbus, OH 43205 | 2010-03-30 |
| 1245394469 | University of Cincinnati Medical Center, LLC | Pharmacy | 3130 Highland Ave Rm G200, Cincinnati, OH 45219-2333 | 2006-12-21 |
| 1346348091 | The Cleveland Clinic Foundation | Pharmacy | 2550 Som Center Rd, Willoughby Hills, OH 44094-9655 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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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.