LICKING COUNTY COMMUNITY HEALTH CARE (NPI# 1174920102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174920102 |
| Entity Type | Organization |
| Organization Name | LICKING COUNTY COMMUNITY HEALTH CARE |
| Other Organization Name | THE COMMUNITY HEALTH CLINIC |
| Practice Address |
144b W Main St Newark OH 43055-5008 |
| Practice Telephone | 7403451613 |
| Practice Fax Number | 7403490956 |
| Mailing Telephone | 7403451613 |
| Mailing Fax Number | 7403490956 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | DR. PATRICK J. SCARPITTI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7403451613 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 35045247 | OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Community Health Clinic | Doing Business As Name - Organization |
| Street Address |
144B W MAIN ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073093373 | Pinnacle Autism Services, LLC | Clinic/Center | 908 Janice Dr, Newark, DE 19713-4040 | 2018-08-16 |
| 1154849297 | Greater Essex Counseling Services LLC | Clinic/Center | 23 Branford Pl Fl 2, Newark, NJ 07102-2711 | 2017-09-08 |
| 1740619881 | Independent Insurance Consulting | Clinic/Center | 27 Golf View Dr, D-4, Newark, DE 19702-1770 | 2013-11-08 |
| 1043588569 | Ferry Pain & Rehab Center | Clinic/Center | 128 Ferry St, Newark, NJ 07105-2115 | 2011-12-12 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1710177068 | Gaviota Corporation | Clinic/Center | 919 Franklin Ave, Newark, NJ 07107-4801 | 2007-08-01 |
| 1407836315 | Spine Care Delaware, LLC | Clinic/Center | 4102 Ogletown - Stanton Rd, Newark, DE 19713 | 2006-01-18 |
| 1457841421 | Complete Sleep Lab Inc | Clinic/Center | 314 E Main St, Newark, DE 19711-7128 | 2018-05-15 |
| 1699135178 | Brick City Chiropractic LLC | Clinic/Center | 509 Orange St, Floor 2, Newark, NJ 07107-2128 | 2016-02-26 |
| 1649692575 | Loren Donnell Smith Od Inc | Clinic/Center | 35149 Newark Blvd, Ste C, Newark, CA 94560-1209 | 2014-01-13 |
| Find all providers in NEWARK | ||||
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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.