CENTER STREET COMMUNITY CLINIC INC NPI 1780984211

NPI Information

CENTER STREET COMMUNITY CLINIC INC is a federally qualified health center (fqhc) clinic center in Marion, OH. CENTER STREET COMMUNITY CLINIC INC NPI is 1780984211. The provider is registered as an organization entity type.
The provider Is Doing Business As Center Street Community Health Center.

The provider's business location address is:

136 W CENTER ST
MARION, OH
ZIP 43302-704
Phone: (740) 751-6380
Fax: (740) 751-4866

The provider's authorized official is Penny A Taylor .
The authorized official title is Revenue Cycle Coordinator and has the following contact phone number (740) 751-4189.

The enumeration date for this NPI number is 11/1/2010 and was last updated on 4/8/2015.

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

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