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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