CENTER STREET COMMUNITY CLINIC INC NPI 1821440629

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 1821440629. The provider is registered as an organization entity type.
The provider Is Doing Business As Morrow Family Health Center Dental.

The provider's business location address is:

136 W CENTER ST
MARION, OH
ZIP 43302-704
Phone: (740) 751-4189

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

The CLIA number assigned to this NPI record is 36D2111497 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/6/2016 and was last updated on 7/6/2016.

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:

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