FIVE RIVERS HEALTH CENTERS (NPI# 1750761813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750761813 |
| Entity Type | Organization |
| Organization Name | FIVE RIVERS HEALTH CENTERS |
| Other Organization Name | HOMELESS CLINIC |
| Practice Address |
921 S. Edwin C. Moses Blvd. Dayton OH 45417-3464 |
| Mailing Address |
2261 Philadelphia Dr. Dayton OH 45406 |
| Practice Telephone | 9377346844 |
| Mailing Telephone | 9377346844 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | MS. 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) |
OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Homeless Clinic | 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 |
921 S. EDWIN C. MOSES BLVD. |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-3464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609090315 | Richard Joseph Surowiec | Internal Medicine | 921 S. Edwin C. Moses Blvd., Dayton, OH 45417 | 2007-04-12 |
| 1356721286 | Five Rivers Health Centers | Dentist | 921 S. Edwin C. Moses Blvd., Dayton, OH 45417 | 2015-06-05 |
| 1770741597 | Good Samaritan Hospital & Health Center | Clinic/Center | 921 S. Edwin C. Moses Blvd., Dayton, OH 45417-3464 | 2008-05-29 |
| 1730387333 | Good Samaritan Hospital & Health Center | Clinic/Center | 921 S. Edwin C. Moses Blvd., Dayton, OH 45417-3464 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| 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 |
| 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 |
| 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 |
| 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.