Organization
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Active
Organization
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Active
Other names
Family Health Center - Waverly
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ERIC PITTS (EXECUTIVE DIRECTOR)
(740) 289-2371
Entity
Organization
Contact information
Practice address
227 VALLEY VIEW DR, WAVERLY, OH 45690-9135
(740) 947-7726
Mailing address
941 MARKET ST, PIKETON, OH 45661-9757
(740) 289-2371
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0873783
—
OH
05
—
0899327
—
OH
Enumeration date
09/28/2006
Last updated
06/09/2020
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