| Community Action Committee Of Pike Co..,inc. | |
|
7046 State Route 335 Beaver OH 45613-9034 | |
| (740) 226-1924 | |
| Not Available |
| Full Name | Community Action Committee Of Pike Co..,inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 7046 State Route 335, Beaver, Ohio |
| Authorized Official Name and Position | Ray 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 Co..,inc. 941 Market St Piketon OH 45661-9757 Ph: (740) 289-2371 | Community Action Committee Of Pike Co..,inc. 7046 State Route 335 Beaver OH 45613-9034 Ph: (740) 226-1924 |
| NPI Number | 1679745194 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679745194 | NPI | - | NPPES |
| 0100134 | Medicaid | OH | |
| 0989935 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |