| Center Street Community Health Center | |
|
136 W Center St Marion OH 43302-3704 | |
| (740) 751-6380 | |
| (740) 751-4866 |
| Full Name | Center Street Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 136 W Center St, Marion, Ohio |
| Authorized Official Name and Position | Penny A Taylor (REVENUE CYCLE COORDINATOR) |
| Authorized Official Contact | 7407514189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Street Community Health Center 136 W Center St Marion OH 43302-3704 Ph: (740) 751-6380 | Center Street Community Health Center 136 W Center St Marion OH 43302-3704 Ph: (740) 751-6380 |
| NPI Number | 1780984211 |
|---|---|
| Provider Enumeration Date | 11/01/2010 |
| Last Update Date | 04/08/2015 |
| Medicare PECOS PAC ID | 7012815210 |
|---|---|
| Medicare Enrollment ID | O20031226000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780984211 | NPI | - | NPPES |
| 3148061 | Medicaid | OH | |
| 1780984211 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Suzanne S Schuler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194750620 PECOS PAC ID: 7719886175 Enrollment ID: I20040105000543 |
| Provider Name | Jeffrey P Zaika |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508997081 PECOS PAC ID: 3779566575 Enrollment ID: I20040611000795 |
| Provider Name | Jessica Eve Spelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609887017 PECOS PAC ID: 8325024201 Enrollment ID: I20040629001675 |
| Provider Name | Mark E Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306814678 PECOS PAC ID: 7416948765 Enrollment ID: I20040714001429 |
| Provider Name | Nagah Elarossi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487600359 PECOS PAC ID: 9436127362 Enrollment ID: I20050707000955 |
| Provider Name | Timothy Garner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902868813 PECOS PAC ID: 7416980537 Enrollment ID: I20060411000724 |
| Provider Name | Brian L Bachelder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356439228 PECOS PAC ID: 2163418617 Enrollment ID: I20071008000308 |
| Provider Name | Tammy Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760767776 PECOS PAC ID: 1557514379 Enrollment ID: I20130103000300 |
| Provider Name | Victoria Endicott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255393625 PECOS PAC ID: 8729222591 Enrollment ID: I20130917000387 |
| Provider Name | Michelle M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770995508 PECOS PAC ID: 5193949642 Enrollment ID: I20140624001145 |
| Provider Name | Kristin Aguado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659777308 PECOS PAC ID: 2365768462 Enrollment ID: I20150309001546 |
| Provider Name | Ashley Degutis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003212382 PECOS PAC ID: 2860710688 Enrollment ID: I20150407001981 |
| Provider Name | Joshua A Shuh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851732754 PECOS PAC ID: 7113237348 Enrollment ID: I20160901001243 |
| Provider Name | Tricia E Giddens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174858021 PECOS PAC ID: 0244516847 Enrollment ID: I20170414000234 |
| Provider Name | Sanjit Kaur Dhaliwal |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1730112137 PECOS PAC ID: 6800863895 Enrollment ID: I20190111000502 |
| Provider Name | Heather L Mosier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871017038 PECOS PAC ID: 7113291691 Enrollment ID: I20190124002729 |
| Provider Name | Elizabeth J Claborn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821260381 PECOS PAC ID: 4385987908 Enrollment ID: I20190523000997 |
| Provider Name | Alice Lynn Risner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164984746 PECOS PAC ID: 6800139429 Enrollment ID: I20190523001118 |
| Provider Name | Angela Lou Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174164545 PECOS PAC ID: 1951734763 Enrollment ID: I20191210000789 |
| Provider Name | Adrienne Michelle Panas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932744257 PECOS PAC ID: 3476987850 Enrollment ID: I20191217002318 |
| Provider Name | Lauren Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821604422 PECOS PAC ID: 0446670483 Enrollment ID: I20201013003487 |
| Provider Name | Martha I Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619590908 PECOS PAC ID: 3870905557 Enrollment ID: I20201222002099 |
| Provider Name | Jessica Green-burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952661696 PECOS PAC ID: 9830512631 Enrollment ID: I20210304001866 |
| Provider Name | Brittany Anne Wheitner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457965386 PECOS PAC ID: 1153726435 Enrollment ID: I20210825000927 |
| Provider Name | Abigail Wells Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982360855 PECOS PAC ID: 1052702057 Enrollment ID: I20211230001059 |
| Provider Name | Jared Friebel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558028704 PECOS PAC ID: 8729467972 Enrollment ID: I20220620000883 |
| Provider Name | Mckenzie Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720772015 PECOS PAC ID: 6800241597 Enrollment ID: I20231016002634 |
| Provider Name | Taylor Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912528282 PECOS PAC ID: 8820445067 Enrollment ID: I20231109003429 |
Midwest Internal Medicine Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1728 Marion Waldo Rd, Marion, OH 43302 Phone: 740-389-2297 Fax: 740-389-2427 | |
Mila & Sia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1728 Marion Waldo Rd, Marion, OH 43302 Phone: 740-389-2297 Fax: 740-888-0004 | |
Saferx Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1065 Delaware Ave, Marion, OH 43302 Phone: 614-568-4646 Fax: 614-388-5722 | |
Access Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Mckinley Park Dr, Mri Suite, Marion, OH 43302 Phone: 866-727-4612 | |
Center Street Community Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Executive Dr Ste 201, Marion, OH 43302 Phone: 740-387-3087 | |
Center Street Community Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 West Center Street, Suite 200, Marion, OH 43302 Phone: 740-375-6030 Fax: 740-382-8291 | |
Center Street Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 W Center St, Suite 200, Marion, OH 43302 Phone: 740-751-4189 Fax: 740-751-4866 |