Organization
CENTER STREET COMMUNITY CLINIC INC
Active
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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