CENTER STREET COMMUNITY CLINIC INC


Address: 136 W Center St, Marion, OH 43302-3704
Phone: 7407516380

CENTER STREET COMMUNITY CLINIC INC (NPI# 1780984211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780984211
Entity Type Organization
Organization Name CENTER STREET COMMUNITY CLINIC INC
Other Organization Name CENTER STREET COMMUNITY HEALTH CENTER
Practice Address 136 W Center St
Marion
OH 43302-3704
Practice Telephone 7407516380
Practice Fax Number 7407514866
Mailing Telephone 7407516380
Mailing Fax Number 7407514866
Enumeration Date 2010-11-01
Last Update Date 2015-04-08
Authorized Official Name MRS. PENNY A TAYLOR (REVENUE CYCLE COORDINATOR)
Authorized Official Telephone 7407514189
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH NPI 1780984211 01
OH 3148061 05

Other Provider/Organization Names

Other Name Type Code
Center Street Community Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942840871 Center Street Community Clinic Inc Clinic/Center 126 Harding Way E, Galion, OH 44833-1901 2020-01-08
1346417417 Center Street Community Clinic Inc Clinic/Center 205 W Center St, Suite 200, Marion, OH 43302-3700 2008-05-08
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

Office Location

Street Address 136 W CENTER ST
City MARION
State OH
Zip Code 43302-3704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487600359 Nagah E. Elarossi Internal Medicine 136 W Center St, Marion, OH 43302-3704 2006-05-25
1356969398 Hollie Lynn Swain Social Worker 136 W Center St, Marion, OH 43302-3704 2020-07-07
1932744257 Adrienne Michelle Panas Nurse Practitioner 136 W Center St, Marion, OH 43302-3704 2019-11-11
1821440629 Center Street Community Clinic Inc Clinic/Center 136 W Center St, Marion, OH 43302-3704 2016-07-06
1487002903 James Smithson II Dentist 136 W Center St, Marion, OH 43302-3704 2016-05-25
1003212382 Ashley Degutis Nurse Practitioner 136 W Center St, Marion, OH 43302-3704 2014-11-13
1659777308 Kristin Aguado Nurse Practitioner 136 W Center St, Marion, OH 43302-3704 2014-11-07
1952661696 Jessica Renee Green-burns Nurse Practitioner 136 W Center St, Marion, OH 43302-3704 2012-05-28
1174858021 Tricia Elaine Giddens Registered Nurse 136 W Center St, Marion, OH 43302-3704 2009-10-09
1821260381 Elizabeth Jean Claborn Social Worker 136 W Center St, Marion, OH 43302-3704 2008-03-25
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437638038 East Arkansas Family Health Center, Inc Clinic/Center 1 Patriot Dr, Marion, AR 72364-2408 2018-08-14
1346417417 Center Street Community Clinic Inc Clinic/Center 205 W Center St, Suite 200, Marion, OH 43302-3700 2008-05-08
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
1770668824 Health Care Partners of South Carolina, Inc. Clinic/Center 145 Palmetto Pointe Rd, Marion, SC 29571-3014 2006-10-26

Providers in the same taxonomy and state

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
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Competitor

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City MARION
Zip Code 43302

Improve Information

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Dataset Information

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.

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