CENTER STREET COMMUNITY CLINIC INC (NPI# 1346417417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346417417 |
| Entity Type | Organization |
| Organization Name | CENTER STREET COMMUNITY CLINIC INC |
| Other Organization Name | CENTER STREET COMMUNITY CLINIC |
| Practice Address |
205 W Center St Suite 200 Marion OH 43302-3700 |
| Practice Telephone | 7407514189 |
| Practice Fax Number | 7407514866 |
| Mailing Telephone | 7407514189 |
| Mailing Fax Number | 7407514866 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | CLIFF G EDWARDS (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7407516380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2859509 | 05 |
| Other Name | Type Code |
|---|---|
| Center Street Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942840871 | Center Street Community Clinic Inc | Clinic/Center | 126 Harding Way E, Galion, OH 44833-1901 | 2020-01-08 |
| 1346271608 | Center Street Community Clinic Inc | Clinic/Center | 205 West Center Street, Suite 200, Marion, OH 43302-3700 | 2006-07-05 |
| 1821440629 | Center Street Community Clinic Inc | Clinic/Center | 136 W Center St, Marion, OH 43302-3704 | 2016-07-06 |
| 1780984211 | Center Street Community Clinic Inc | Clinic/Center | 136 W Center St, Marion, OH 43302-3704 | 2010-11-01 |
| Street Address |
205 W CENTER ST SUITE 200 |
| City | MARION |
| State | OH |
| Zip Code | 43302-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407014558 | Twig I Well Baby Clinic | Clinic/Center | 205 W Center St, Marion, OH 43302-3700 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1437638038 | East Arkansas Family Health Center, Inc | Clinic/Center | 1 Patriot Dr, Marion, AR 72364-2408 | 2018-08-14 |
| 1437238151 | Rural Health Medical Program, Inc. | Clinic/Center | 1310 Washington Street, Marion, AL 36756-3218 | 2006-11-03 |
| 1881624161 | Shawnee Health Service and Development Corp | Clinic/Center | 1700 Wildcat Dr Ste A, Marion, IL 62959-1513 | 2006-07-03 |
| 1275150815 | Health Care Partners Pharmacy | Clinic/Center | 145 Palmetto Pointe Rd, Marion, SC 29571-6721 | 2020-06-30 |
| 1821440629 | Center Street Community Clinic Inc | Clinic/Center | 136 W Center St, Marion, OH 43302-3704 | 2016-07-06 |
| 1649609843 | Morehouse Community Medical Centers, Inc. | Clinic/Center | 335 Main Street, Marion, LA 71260-3653 | 2013-11-07 |
| 1780984211 | Center Street Community Clinic Inc | Clinic/Center | 136 W Center St, Marion, OH 43302-3704 | 2010-11-01 |
| 1770668824 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 145 Palmetto Pointe Rd, Marion, SC 29571-3014 | 2006-10-26 |
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| 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 |
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| 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 | ||||
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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.