Old West End Community Health Center – Federally Qualified Health Center (FQHC), NPI 1760952741

Old West End Community Health Center is a healthcare provider. based in Holland, Ohio. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Old West End Community Health Center is 1760952741

Main info

Organization
Name
Old West End Community Health Center
NPI
1760952741
Phone
(567) 318-3900
Address
330 OAK TERRACE BLVD
Authorized Official
JANIS SUNDERHAUS CEO RN, MSN
Enumeration Date
3 December 2018
Last Update Date
2 February 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness80
Years active:7State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Old West End Community Health Center

  • 330 OAK TERRACE BLVD

    HOLLAND, OH 435288993

    Phone: (567) 318-3900

    Type: Location

  • 2244 COLLINGWOOD BLVD

    TOLEDO, OH 436201147

    Phone: (567) 318-3891

    Type: Location

  • 329 N WEST ST

    LIMA, OH 458014332

    Phone: (419) 221-3072

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2019-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (284 days ago).

Enrollment records

1

Earliest due date

2025-08-31

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
O20190529000915OFederally Qualified Health Center (Fqhc)OH2025-08-31

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 43528)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Old West End Community Health Center?
The federal identifier for Old West End Community Health Center is NPI 1760952741.
Is Old West End Community Health Center currently active in the NPI registry?
CMS-published data lists Old West End Community Health Center as an active registrant.
Can you summarize Old West End Community Health Center's specialty in plain language?
Clinically, the directory lists Old West End Community Health Center with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where is Old West End Community Health Center's primary listing?
We display Holland, Ohio because that is what the record indicates for Old West End Community Health Center.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

Toledo-Lucas County Health Center

Federally Qualified Health Center (FQHC)
635 N ERIE ST
NPI: 1669875332

Holland Health Care

Federally Qualified Health Center (FQHC)
9842 OAK PLACE CT
NPI: 1306225610

Springfield Health Center

Federally Qualified Health Center (FQHC)
329 N WEST ST
NPI: 1396605481