=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245038199
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOPEWELL HEALTH CENTERS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2025
-----------------------------------------------------
Last Update Date | 08/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15676 STATE ROUTE 691 STE H
-----------------------------------------------------
City | NELSONVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45764-9681
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-517-5886
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 188
-----------------------------------------------------
City | CHILLICOTHEE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45601-0188
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-773-4366
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MARK BRIDENBAUGH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 740-773-4366
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0400X
-----------------------------------------------------
Taxonomy Name | Federally Qualified Health Center (FQHC)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------