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HOLZER HOSPITAL FOUNDATION
NPI 1629109780
Pharmacy - Community/Retail Pharmacy in Jackson, OH

Active since March 08, 2007CLIA 36D0682477 · Accreditation
280 PATTONSVILLE RD, JACKSON, OH 45640(740) 395-8870(740) 395-8897 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2025, Jun 24, 2025, Aug 22, 2020 (3 updates tracked since 2020).

About Holzer Hospital Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLZER HOSPITAL FOUNDATION (NPI 1629109780), doing business as Holzer Family Pharmacy Jackson, is a healthcare organization registered as a community/retail pharmacy in Jackson, Ohio and active in the NPI registry since March 2007. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Rodney B Stout, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629109780
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHOLZER HOSPITAL FOUNDATION
Location Address280 PATTONSVILLE RDJackson, OH 45640-9452
Mailing Address280 Pattonsville RdJackson, OH 45640-9452 · (740) 395-8870 · Fax (740) 395-8897
Phone(740) 395-8870
Fax(740) 395-8897
Organization SubpartNo
Authorized OfficialRodney B StoutCeo · (404) 465-5597
Enumeration DateMarch 8, 2007
Last NPPES UpdateSeptember 15, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1629109780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
280 PATTONSVILLE RD, Jackson, OH 45640
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Other Names 1

Doing Business AsHolzer Family Pharmacy Jackson

Other Identifiers 1

Medicaid2163144OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 36D0682477

Holzer Hospital Foundation Dba Holzer Jackson · Jackson, OH
Active · expires Dec 22, 2027
CLIA Number36D0682477
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Ashley Monsrud
Laboratory Phone(740) 446-5171
Laboratory LocationHolzer Hospital Foundation Dba Holzer Jackson280 Pattonsvlle Road, Jackson, OH 45640
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREANNA MORGAN CNP
Family Medicine
280 PATTONSVILLE RD
JACKSON, OH 45640
Jackson County (740) 395-8801
ROBERT JEFFREY ELLIOTT RPH
Pharmacist
280 PATTONSVILLE RD
JACKSON, OH 45640
Jackson County (740) 395-8870
DONALD A FISCO D.O.
Family Medicine
280 PATTONSVILLE RD
JACKSON, OH 45640
Jackson County (740) 395-8805
AASIA BUTT M.D
Internal Medicine
280 PATTONSVILLE RD
JACKSON, OH 45640
Jackson County (855) 446-5937
NEESHA SMITH CNP
Nurse Practitioner
280 PATTONSVILLE RD
JACKSON, OH 45640
Jackson County (740) 395-8805
KAREN A. LEIGH SLP
Speech-Language Pathologist
280 PATTONSVILLE RD
JACKSON, OH 45640
Jackson County (740) 395-8805
WESTLEY CAMERON MULLINS M.D.
Family Medicine
280 PATTONSVILLE RD
JACKSON, OH 45640
Jackson County (855) 446-5937
AMANDA NICOLE DAVIS CNP
Nurse Practitioner (Family)
280 PATTONSVILLE RD
JACKSON, OH 45640
Jackson County (740) 395-8805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holzer Hospital Foundation's NPI number?

The NPI number for Holzer Hospital Foundation is 1629109780. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Holzer Family Pharmacy Jackson.

Where is Holzer Hospital Foundation located?

Holzer Hospital Foundation is located at 280 Pattonsville Rd, Jackson, OH 45640. The listed phone number is (740) 395-8870.

What is Holzer Hospital Foundation's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Holzer Hospital Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 36D0682477) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Holzer Hospital Foundation accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Holzer Hospital Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holzer Hospital Foundation was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.