Defiance Community Health Center – Federally Qualified Health Center (FQHC), NPI 1780929729

Defiance Community Health Center is a healthcare provider. based in Defiance, Ohio. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Defiance Community Health Center is 1780929729

Main info

Organization
Name
Defiance Community Health Center
NPI
1780929729
Phone
(419) 567-2138
Address
1018 RALSTON AVE
Authorized Official
MS. JANIS L. SUNDERHAUS CEO RN, MSN
Enumeration Date
3 December 2012
Last Update Date
2 February 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Defiance Community Health Center

  • 1018 RALSTON AVE

    DEFIANCE, OH 435125312

    Phone: (419) 567-2138

    Fax: (419) 225-8878

    Type: Location

  • 211 BIEDE AVE

    DEFIANCE, OH 435122408

    Phone: (419) 785-3827

    Fax: (419) 225-8878

    Type: Location

  • 329 N WEST ST

    LIMA, OH 458014332

    Phone: (419) 221-3072

    Fax: (419) 549-5671

    Type: Mailing

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: 2013-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-06-30 (711 days ago).

Enrollment records

1

Earliest due date

2024-06-30

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
O20130125000326OFederally Qualified Health Center (Fqhc)OH2024-06-30

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 43512)

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Reviews

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Frequently asked questions

What is the standard ID for Defiance Community Health Center in the U.S.?
In the U.S., Defiance Community Health Center is identified by NPI 1780929729.
Quick check: is Defiance Community Health Center active?
Public NPPES data shows Defiance Community Health Center with an active NPI status right now.
How should patients interpret Defiance Community Health Center's specialty?
The extract shows Federally Qualified Health Center (FQHC) for Defiance Community Health Center. Clinical services aligned with this taxonomy classification.
What city is tied to Defiance Community Health Center?
The directory associates Defiance Community Health Center with Defiance, Ohio. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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