Organization
CENTER STREET COMMUNITY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY COBB (CFO)
(740) 751-4531
Entity
Organization
Contact information
Practice address
125 EXECUTIVE DR STE 201, MARION, OH 43302-6302
(740) 387-3087
Mailing address
136 W CENTER ST, MARION, OH 43302-3704
(740) 751-4531
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
12/22/2023
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