COMMUNITY ACTION COMMITTEE OF PIKE CO..INC. NPI 1679745194

NPI Information

COMMUNITY ACTION COMMITTEE OF PIKE CO..,INC. is a federally qualified health center (fqhc) clinic center in Beaver, OH. COMMUNITY ACTION COMMITTEE OF PIKE CO..,INC. NPI is 1679745194. The provider is registered as an organization entity type.

The provider's business location address is:

7046 STATE ROUTE 335
BEAVER, OH
ZIP 45613-034
Phone: (740) 226-1924

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 3/25/2008 and was last updated on 4/2/2008.

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:

Other Identifiers

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

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