Organization
COMMUNITY ACTION COMMITTEE OF PIKE CO., INC.
Active
Organization
COMMUNITY ACTION COMMITTEE OF PIKE CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY ROBERTS (EXECUTIVE DIRECTOR)
(740) 289-2371
Entity
Organization
Contact information
Practice address
941 MARKET ST, PIKETON, OH 45661-9757
(740) 289-2371
Mailing address
941 MARKET ST, PIKETON, OH 45661-9757
(740) 289-2371
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100134
—
OH
05
—
0829465
—
OH
05
—
0865612
—
OH
05
—
0873783
—
OH
05
—
0899327
—
OH
05
—
0899336
—
OH
05
—
0989935
—
OH
01
—
1003908930
WEST PORTSMOUTH FAMILY HEALTH CENTER NPI #
—
01
—
1023100955
JACKSON FAMILY HEALTH CENTER NPI
—
01
—
1093044331
PORTSMOUTH FAMILY HEALTH CENTER NPI #
—
01
—
1891887790
WAVERLY FAMILY HEALTH CENTER NPI #
—
01
—
1912099839
PIKETON FAMILY HEALTH CENTER NPI #
—
05
—
2081349
—
OH
Enumeration date
04/10/2006
Last updated
01/26/2010
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