COMMUNITY ACTION COMMITTEE OF PIKE COUNTY (NPI# 1790116218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790116218 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION COMMITTEE OF PIKE COUNTY |
| Practice Address |
621 Broadway St Portsmouth OH 45662-4788 |
| Mailing Address |
941 Market St Piketon OH 45661-9757 |
| Practice Telephone | 7409614011 |
| Practice Fax Number | 7409614010 |
| Mailing Telephone | 7402892371 |
| Mailing Fax Number | 7402893545 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2020-06-09 |
| 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 | 0098336 | 05 |
| 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 |
| 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 |
621 BROADWAY ST |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-4788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669733 | Carolyn L Berry-pettit | Clinical Nurse Specialist | 621 Broadway St, Portsmouth, OH 45662-4788 | 2006-05-23 |
| 1578974929 | Community Action Committee of Pike County | Clinic/Center | 621 Broadway St, Portsmouth, OH 45662-4788 | 2014-05-19 |
| 1992131445 | Calvin Caleb Evans | Registered Nurse | 621 Broadway St, Portsmouth, OH 45662-4788 | 2013-09-16 |
| 1487942777 | Sarath N. Bachali | Dentist | 621 Broadway St, Portsmouth, OH 45662-4788 | 2011-07-20 |
| 1851609549 | Bridget M Ehrhart-bennett | Nurse Practitioner | 621 Broadway St, Portsmouth, OH 45662-4788 | 2010-09-16 |
| 1215128715 | John Loudermilk | Dentist | 621 Broadway St, Portsmouth, OH 45662-4788 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| 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 |
|---|---|---|---|---|
| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1881978658 | Greater Seacoast Community Health | Clinic/Center | 600 Lafayette Rd, Portsmouth, NH 03801-5435 | 2011-09-28 |
| 1063982924 | Shawnee Mental Health Center, Inc. | Clinic/Center | 901 Washington St, Portsmouth, OH 45662-3944 | 2018-12-04 |
| 1174047658 | Compass Community Health | Clinic/Center | 411 Court St, Portsmouth, OH 45662-3932 | 2017-07-27 |
| 1902282114 | Hampton Roads Community Health Center | Clinic/Center | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2015-08-11 |
| 1093044331 | Community Action Committee of Pike County | Clinic/Center | 717 5th St, Portsmouth Family Health Center, Portsmouth, OH 45662-4007 | 2009-12-16 |
| 1639339948 | Greater Seacoast Community Health | Clinic/Center | 100 Campus Dr, Suite 12, Portsmouth, NH 03801-5892 | 2008-06-10 |
| 1114935871 | Greater Seacoast Community Health | Clinic/Center | 100 Campus Dr, Suite 12, Portsmouth, NH 03801-5892 | 2006-08-04 |
| 1134199193 | Portsmouth Community Health Center, Inc. | Clinic/Center | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2006-01-24 |
| 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 |
| 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 |
| 1942840871 | Center Street Community Clinic Inc | Clinic/Center | 126 Harding Way E, Galion, OH 44833-1901 | 2020-01-08 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.