| Community Action Committee Of Pike County | |
|
717 5th St Portsmouth Family Health Center Portsmouth OH 45662-4007 | |
| (740) 354-6605 | |
| Not Available |
| Full Name | Community Action Committee Of Pike County |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 717 5th St, Portsmouth, Ohio |
| Authorized Official Name and Position | Gary Roberts (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7402892371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 717 5th St Portsmouth Family Health Center Portsmouth OH 45662-4007 Ph: (740) 354-6605 |
| NPI Number | 1093044331 |
|---|---|
| Provider Enumeration Date | 12/16/2009 |
| Last Update Date | 02/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093044331 | NPI | - | NPPES |
| 3051754 | Medicaid | OH | |
| 361953 | Other | CMS FQHC CERTIFICATION NUMBER | |
| 1447349956 | Other | INDIVIDUAL PROVIDERS NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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