Organization
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Active
Organization
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ERIC PITTS (EXECUTIVE DIRECTOR)
(740) 289-2371
Entity
Organization
Contact information
Practice address
7777 US HIGHWAY 23, PIKETON, OH 45661-9102
(740) 289-3508
Mailing address
7777 US HIGHWAY 23, PIKETON, OH 45661-9102
(740) 289-3508
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0865612
—
OH
05
—
0899336
—
OH
Enumeration date
09/28/2006
Last updated
06/09/2020
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