CENTER STREET COMMUNITY CLINIC INC NPI 1609657766

NPI Information

NPI: 1609657766
Provider Name: CENTER STREET COMMUNITY CLINIC, INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
125 EXECUTIVE DR STE 201
MARION, OH
ZIP 43302
Phone: (740) 387-3087
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CENTER STREET COMMUNITY CLINIC, INC is a multi-specialty clinic center in Marion, OH. CENTER STREET COMMUNITY CLINIC, INC NPI is 1609657766. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

125 EXECUTIVE DR STE 201
MARION, OH
ZIP 43302-302
Phone: (740) 387-3087

The provider's authorized official is Audrey Cobb .
The authorized official title is Cfo and has the following contact phone number (740) 751-4531.

The enumeration date for this NPI number is 10/13/2023 and was last updated on 10/13/2023.

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	Primary
1	103T00000X	Psychologist		No
2	1041C0700X	Social Worker	Clinical	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	No
4	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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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