DBA Shawnee Family Health Center – Federally Qualified Health Center (FQHC), NPI 1750851622

DBA Shawnee Family Health Center is a healthcare provider. based in Portsmouth, Ohio. specializing in Federally Qualified Health Center (FQHC). The NPI Number for DBA Shawnee Family Health Center is 1750851622

Main info

Organization
Name
DBA Shawnee Family Health Center
NPI
1750851622
Phone
(740) 355-8686
Address
901 WASHINGTON ST
Authorized Official
CYNTHIA HOLSTEIN CEO
Enumeration Date
4 December 2018
Last Update Date
9 May 2022

Contacts

REST API
shawnee.mental.health.center@clinisync.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness90
Years active:7State licenses:0Updated within 12 months

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Provider Addresses for DBA Shawnee Family Health Center

  • 901, Washington Street, Sixth Street Historic District, Portsmouth, Scioto County, Ohio, 45662, United States

    PORTSMOUTH, OH 456623944

    Phone: (740) 355-8686

    Type: Mailing

  • 192, Chestnut Ridge Road, West Union, Adams County, Ohio, 45693, United States

    WEST UNION, OH 456939584

    Phone: (937) 544-5400

    Fax: (740) 353-1662

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (653 days ago).

Enrollment records

1

Earliest due date

2024-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20190211000726OFederally Qualified Health Center (Fqhc)OH2024-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45662)

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Reviews

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Frequently asked questions

What is the registry number for DBA Shawnee Family Health Center?
The registry entry for DBA Shawnee Family Health Center shows NPI 1750851622.
Is DBA Shawnee Family Health Center currently accepting referrals based on NPI status?
Registry metadata lists DBA Shawnee Family Health Center as active.
What services align with DBA Shawnee Family Health Center's listing?
DBA Shawnee Family Health Center's public classification highlights Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Is DBA Shawnee Family Health Center tied to Portsmouth, Ohio?
If you are local to Portsmouth, Ohio, DBA Shawnee Family Health Center may be relevant to your search.
Can I export DBA Shawnee Family Health Center's record?
You can download the official NPPES record; we summarize key fields for readability.

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