Organization
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ERIC PITTS (EXECUTIVE DIRECTOR)
(740) 289-2371
Entity
Organization
Contact information
Practice address
130 WAYNE FRYE DR, MANCHESTER, OH 45144-9314
(937) 549-1270
Mailing address
PO BOX 799, PIKETON, OH 45661-0799
(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
—
0108182
—
OH
Enumeration date
05/20/2014
Last updated
12/19/2024
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