| Community Action Committee Of Pike County | |
|
621 Broadway St Portsmouth OH 45662-4788 | |
| (740) 961-4011 | |
| (740) 961-4010 |
| Full Name | Community Action Committee Of Pike County |
|---|---|
| Speciality | Clinic/Center |
| Location | 621 Broadway St, Portsmouth, 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 621 Broadway St Portsmouth OH 45662-4788 Ph: (740) 961-4011 |
| NPI Number | 1790116218 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 06/09/2020 |
| Medicare PECOS PAC ID | 3173432762 |
|---|---|
| Medicare Enrollment ID | O20140212000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790116218 | NPI | - | NPPES |
| 0098336 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Shawnee Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-355-8686 Fax: 740-353-1662 | |
Community Action Committee Of Pike County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 5th St, Portsmouth, OH 45662 Phone: 740-354-6605 | |
Community Action Committee Of Pike County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 5th St, Portsmouth Family Health Center, Portsmouth, OH 45662 Phone: 740-354-6605 | |
Cardiac Examination, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8681 Fax: 740-353-7900 | |
John Ditraglia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 717 5th St, Portsmouth, OH 45662 Phone: 740-354-6605 Fax: 740-354-1565 | |
Kings Daughters Portsmouth Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1729 Kinneys Ln Ste 201, Portsmouth, OH 45662 Phone: 740-355-8930 Fax: 740-354-7900 | |
Shawnee Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-7702 Fax: 740-353-1662 |