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COMMUNITY ACTION COMMITTEE OF PIKE COUNTY NPI 1912164146


NPI Information

NPI: 1912164146
Provider Name: COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
23030 ST RT 73
FAMILY HEALTH CENTER WEST PORTSMOUTH
PORTSMOUTH, OH
ZIP 45663
Phone: (740) 858-1063
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COMMUNITY ACTION COMMITTEE OF PIKE COUNTY is a primary care clinic center in Portsmouth, OH. COMMUNITY ACTION COMMITTEE OF PIKE COUNTY NPI is 1912164146. The provider is registered as an organization entity type.

The provider's business location address is:

23030 ST RT 73
FAMILY HEALTH CENTER WEST PORTSMOUTH
PORTSMOUTH, OH
ZIP 45663
Phone: (740) 858-1063

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 5/16/2008 and was last updated on 9/8/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12864691MEDICAIDOHIO

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: 4/28/2024

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