Organization
CENTER STREET COMMUNITY CLINIC INC
Active
Other names
Center Street Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY COBB (CFO)
(740) 751-4531
Entity
Organization
Contact information
Practice address
136 W CENTER ST, MARION, OH 43302-3704
(740) 751-6380
(740) 751-4866
Mailing address
136 W CENTER ST, MARION, OH 43302-3704
(740) 751-6380
(740) 751-4866
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780984211
NPI
OH
05
—
3148061
—
OH
Enumeration date
11/01/2010
Last updated
10/29/2025
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