| Community Action Committee Of Pike County | |
|
130 Wayne Frye Dr Manchester OH 45144-9314 | |
| (937) 549-1270 | |
| Not Available |
| Full Name | Community Action Committee Of Pike County |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 Wayne Frye Dr, Manchester, Ohio |
| Authorized Official Name and Position | Keith Eric Pitts (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7402892371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Action Committee Of Pike County 941 Market St Piketon OH 45661-9757 Ph: (740) 289-2371 | Community Action Committee Of Pike County 130 Wayne Frye Dr Manchester OH 45144-9314 Ph: (937) 549-1270 |
| NPI Number | 1336550755 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 06/09/2020 |
| Medicare PECOS PAC ID | 3173432762 |
|---|---|
| Medicare Enrollment ID | O20140724001702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336550755 | NPI | - | NPPES |
| 0108182 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dinesh Nayak Md Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 E 2nd St, Manchester, OH 45144 Phone: 937-549-2691 | |
Community Action Committee Of Pike County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Wayne Frye Dr, Manchester, OH 45144 Phone: 937-549-1270 |