Organization
COMMUNITY ACTION COMMITTEE OF PIKE CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY ROBERTS (EXECUTIVE DIRECTOR)
(740) 289-2371
Entity
Organization
Contact information
Practice address
941 MARKET ST., COMMUNITY ACTION COMMITTEE OF PIKE CO., PIKETON, OH 45661
(740) 289-2371
Mailing address
941 MARKET ST., COMMUNITY ACTION COMMITTEE OF PIKE CO., PIKETON, OH 45661
(740) 289-2371
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0829465
—
OH
05
—
0835190
—
OH
05
—
0865612
—
OH
05
—
0873783
—
OH
05
—
2081349
—
OH
Enumeration date
09/28/2006
Last updated
08/22/2020
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