COMMUNITY ACTION COMMITTEE OF PIKE CO. INC. NPI 1417049602

NPI Information

NPI: 1417049602
Provider Name: COMMUNITY ACTION COMMITTEE OF PIKE CO., INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
941 MARKET ST.
COMMUNITY ACTION COMMITTEE OF PIKE CO.
PIKETON, OH
ZIP 45661
Phone: (740) 289-2371
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COMMUNITY ACTION COMMITTEE OF PIKE CO., INC. is a primary care clinic center in Piketon, OH. COMMUNITY ACTION COMMITTEE OF PIKE CO., INC. NPI is 1417049602. The provider is registered as an organization entity type.

The provider's business location address is:

941 MARKET ST.
COMMUNITY ACTION COMMITTEE OF PIKE CO.
PIKETON, OH
ZIP 45661
Phone: (740) 289-2371

The provider's authorized official is Ray Roberts .
The authorized official title is Executive Director and has the following contact phone number (740) 289-2371.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0865612	MEDICAID	OHIO
2	0873783	MEDICAID	OHIO
3	0829465	MEDICAID	OHIO
4	0835190	MEDICAID	OHIO
5	2081349	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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