Center Street Community Clinic INC

NPI #1780984211 in Marion, Ohio

Provider Information

NPI Number: 1780984211
Entity Type: Organization
Organization Name: Center Street Community Clinic INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Nov 1, 2010
Last Updated: Oct 29, 2025

Practice Location

Address: 136 W CENTER ST
City: Marion
State: Ohio
ZIP Code: 43302-3704
Phone: (740) 751-6380

Authorized Official

Name: AUDREY COBB
Title: CFO
Phone: (740) 751-4531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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