COMMUNITY ACTION COMMITTEE OF PIKE COUNTY (NPI# 1003908930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003908930 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION COMMITTEE OF PIKE COUNTY |
| Other Organization Name | WEST PORTSMOUTH FAMILY PRACTICE |
| Practice Address |
23030 State Route 73 West Portsmouth OH 45663-8861 |
| Mailing Address |
941 Market St Piketon OH 45661-9757 |
| Practice Telephone | 7408581063 |
| Mailing Telephone | 7402892371 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | KEITH ERIC PITTS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7402892371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2081349 | 05 |
| Other Name | Type Code |
|---|---|
| West Portsmouth Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1912164146 | Community Action Committee of Pike County | Clinic/Center | 23030 St Rt 73, Family Health Center West Portsmouth, Portsmouth, OH 45663 | 2008-05-16 |
| 1023100955 | Community Action Committee of Pike County | Clinic/Center | 14590 State Route 93, Jackson, OH 45640-8977 | 2006-09-28 |
| 1245707108 | Community Action Committee of Pike County | Clinic/Center | 715 W Emmitt Ave, Waverly, OH 45690-1015 | 2018-10-30 |
| 1891271938 | Community Action Committee of Pike County | Clinic/Center | 715 W Emmitt Ave, Waverly, OH 45690-1015 | 2018-07-12 |
| 1972054914 | Community Action Committee of Pike County | Clinic/Center | 130 Wayne Frye Dr, Manchester, OH 45144-9314 | 2016-10-14 |
| 1336550755 | Community Action Committee of Pike County | Clinic/Center | 130 Wayne Frye Dr, Manchester, OH 45144-9314 | 2014-05-20 |
| 1578974929 | Community Action Committee of Pike County | Clinic/Center | 621 Broadway St, Portsmouth, OH 45662-4788 | 2014-05-19 |
| 1790116218 | Community Action Committee of Pike County | Clinic/Center | 621 Broadway St, Portsmouth, OH 45662-4788 | 2013-12-09 |
| 1083945042 | Community Action Committee of Pike County | Clinic/Center | 717 5th St, Portsmouth, OH 45662-4007 | 2010-01-14 |
| Street Address |
23030 STATE ROUTE 73 |
| City | WEST PORTSMOUTH |
| State | OH |
| Zip Code | 45663-8861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144467002 | Naomi Kay Blackburn | Nurse Practitioner | 23030 State Route 73, West Portsmouth, OH 45663-8861 | 2009-01-14 |
| 1568425320 | Anne E. Nickerson | Social Worker | 23030 State Route 73, West Portsmouth, OH 45663-8861 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912164146 | Community Action Committee of Pike County | Clinic/Center | 23030 St Rt 73, Family Health Center West Portsmouth, Portsmouth, OH 45663 | 2008-05-16 |
| 1396885844 | Marilyn Kaye Hammond | Licensed Practical Nurse | 1403 9th Street, West Portsmouth, OH 45663 | 2007-02-07 |
| 1427073360 | Stakers Drugs Inc | Pharmacy | 2339 Galena Pike, West Portsmouth, OH 45663 | 2006-07-13 |
| 1992739551 | Washington Township | Ambulance | 1900 S.s. Davis Dr., West Portsmouth, OH 45663 | 2006-07-10 |
| 1629585211 | Emily M Brown | Counselor | 22664 State Route 73, West Portsmouth, OH 45663 | 2018-01-04 |
| 1497261044 | Tyler J Brown | Counselor | 22664 State Route 73, West Portsmouth, OH 45663 | 2017-12-19 |
| 1184970287 | Wanda Jane Hayslip | Home Health Aide | 958 Slab Run Rd, West Portsmouth, OH 45663-2013 | 2012-07-26 |
| 1760733299 | Connie Mae Simpson | Home Health Aide | 226 Whaley Rd Unit A, West Portsmouth, OH 45663-2019 | 2012-09-24 |
| 1770722027 | Washington-nile Local School District | Local Education Agency (LEA) | 15332 Us Highway 52, West Portsmouth, OH 45663-2035 | 2009-02-10 |
| 1164778262 | Beth Ann Evans | Licensed Practical Nurse | 63 Coleman Rd Unit C, West Portsmouth, OH 45663-3035 | 2012-07-26 |
| Find all providers in zip 45663 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380725 | Family Health Services of Erie County | Clinic/Center | 209 Lowell St, Castalia, OH 44824-9332 | 2020-09-15 |
| 1124633193 | Community Health Centers of Greater Dayton | Clinic/Center | 3805 Kings Hwy Rm C, Dayton, OH 45406-3577 | 2020-09-15 |
| 1669087649 | Community Health Centers of Greater Dayton | Clinic/Center | 2900 Shiloh Springs Rd, Ste Studio A, Trotwood, OH 45426-2139 | 2020-09-15 |
| 1639783996 | Erie County Office of Auditor | Clinic/Center | 34 Executive Dr Ste A, Norwalk, OH 44857-2490 | 2020-09-03 |
| 1083231872 | Health Partners of Western Ohio | Clinic/Center | 550 S Collett St Ste 1, Lima, OH 45805-3210 | 2020-06-29 |
| 1366068405 | Muskingum Valley Health Centers | Clinic/Center | 225 W Union Ave Ste 100, West Lafayette, OH 43845-1150 | 2020-06-24 |
| 1205452331 | Muskingum Valley Health Centers | Clinic/Center | 58601 Marietta Rd Ste 100, Byesville, OH 43723-9452 | 2020-06-24 |
| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1376177303 | Erie County Office of Auditor | Clinic/Center | 1925 Hayes Ave Ste B, Sandusky, OH 44870-4737 | 2020-02-28 |
| 1407480593 | Erie County Office of Auditor | Clinic/Center | 333 Buckeye Blvd Ste B, Port Clinton, OH 43452-2475 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST PORTSMOUTH |
| Zip Code | 45663 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.