Organization
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC
Active
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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