Public record

CMS Federally Qualified Health Center All Owners

Associate id - owner: 7517373756 · 21 matching records

Enrollment id
O20200311000283
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CEO
Enrollment id
O20200311000283
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CEO
Enrollment id
O20211012002409
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20211012002409
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20211012002409
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20221114001834
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20221114001834
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20221114001834
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20230202003247
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20230202003247
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Enrollment id
O20230206001855
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Enrollment id
O20230206001855
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-02-24
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Enrollment id
O20231229001127
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-07-25
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Enrollment id
O20231229001127
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-07-25
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20231229001127
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2021-07-25
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20240116003815
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-07-25
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20240116003815
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-07-25
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20240116003815
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2021-07-25
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20240318001284
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-07-25
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20240318001284
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-07-25
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20240318001284
Associate id
0547521452
Organization name
219 HEALTH NETWORK INC
Associate id - owner
7517373756
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2021-07-25
First name - owner
PATRICIA
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
CHIEF EXECUTIVE OFFICER

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