COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC NPI 1821041401

NPI Information

COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC is a federally qualified health center (fqhc) clinic center in Lisbon, OH. COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC NPI is 1821041401. The provider is registered as an organization entity type.
The provider Is Doing Business As Caa Health Center At Lisbon.

The provider's business location address is:

7880 LINCOLE PL
LISBON, OH
ZIP 44432-322
Phone: (330) 424-5686
Fax: (330) 424-4012

The provider's authorized official is Jenna Wonner .
The authorized official title is Coo and has the following contact phone number (330) 424-7221.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 9/11/2020.

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:

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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