COMMUNITY ACTION COMMITTEE OF PIKE COUNTY (NPI# 1114194347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114194347 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION COMMITTEE OF PIKE COUNTY |
| Practice Address |
14590 St Rt 93 Family Health Center Jackson Jackson OH 45640 |
| Mailing Address |
941 Market St Piketon OH 45661-9757 |
| Practice Telephone | 7402862826 |
| Mailing Telephone | 7402892371 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | RAY ROBERTS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7402892371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2864682 | 05 |
| 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 |
| 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 |
| 1093044331 | Community Action Committee of Pike County | Clinic/Center | 717 5th St, Portsmouth Family Health Center, Portsmouth, OH 45662-4007 | 2009-12-16 |
| Street Address |
14590 ST RT 93 FAMILY HEALTH CENTER JACKSON |
| City | JACKSON |
| State | OH |
| Zip Code | 45640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| 1962438051 | Heartland of Jackson Oh, LLC | Skilled Nursing Facility | 8668 State Route, #93, Jackson, OH 45640 | 2006-06-23 |
| Find all providers in zip 45640 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1114427507 | Advance Care, LLC | Clinic/Center | 14 Northtown Dr Ste 105, Jackson, MS 39211-3018 | 2018-02-13 |
| 1467841742 | Dc Medical Services Inc | Clinic/Center | 7 Stonebridge Blvd Ste C, Jackson, TN 38305-2049 | 2015-01-09 |
| 1558779728 | Rural Health Group, Inc. | Clinic/Center | 9742 Nc Highway 305, Jackson, NC 27845-9799 | 2014-07-31 |
| 1043573199 | Fondren Medical Clinic | Clinic/Center | 4436 N State St, Suite A-1, Jackson, MS 39206-5334 | 2012-06-22 |
| 1043503832 | Mid Jackson Family Health Clinic | Clinic/Center | 514c Woodrow Wilson Dr, Jackson, MS 39216 | 2011-05-26 |
| 1053646190 | More Convenient Care Center LLC | Clinic/Center | 4612 Medgar Evers Blvd, Suite 10, Jackson, MS 39213-5205 | 2009-10-07 |
| 1518121326 | University Nursing Associates Pllc | Clinic/Center | 136 W Ash St, Jackson, MS 39202-2217 | 2008-07-11 |
| 1407968738 | Minor Med Care, P.a. | Clinic/Center | 2860 Mcdowell Road Ext, Jackson, MS 39204-4238 | 2006-08-31 |
| Find all providers in JACKSON | ||||
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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.