Center Street Community Clinic INC

NPI #1821440629 in Marion, Ohio

Provider Information

NPI Number: 1821440629
Entity Type: Organization
Organization Name: Center Street Community Clinic INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jul 6, 2016
Last Updated: Jul 6, 2016

Practice Location

Address: 136 W CENTER ST
City: Marion
State: Ohio
ZIP Code: 43302-3704
Phone: (740) 751-4189

Authorized Official

Name: MRS. AUDREY AKINS, CFO
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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