Organization
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC
Active
Parent organization
COMMUNITY ACTION AGENCY OF COLUMBIANA CNTY, INC
Other names
CAA East Liverpool Campus Bldg 2, CAA Campus Building #2
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY ACTION AGENCY OF COLUMBIANA CNTY, INC
Authorized official
JENNA WONNER (COO)
(330) 424-7221
Entity
Organization
Contact information
Practice address
16494 SAINT CLAIR AVE, EAST LIVERPOOL, OH 43920-9142
(330) 424-7221
Mailing address
7880 LINCOLE PL, LISBON, OH 44432-8322
(330) 424-7221
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346422
—
OH
Enumeration date
05/15/2018
Last updated
09/11/2020
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