Jackson-Vinton Community Action, Inc.

NPI #1831134501 in Wellston, Ohio

Provider Information

NPI Number: 1831134501
Entity Type: Organization
Organization Name: Jackson-Vinton Community Action, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jun 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 118 S NEW YORK AVE
City: Wellston
State: Ohio
ZIP Code: 45692-1540
Phone: (740) 384-3722

Authorized Official

Name: MRS. CHERYL THIESSEN
Title: EXECUTIVE DIRECTOR
Phone: (740) 384-3722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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