COMMUNITY ACTION COMMITTEE OF PIKE CO..,INC. (NPI# 1679745194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679745194 |
Entity Type | Organization |
Organization Name | COMMUNITY ACTION COMMITTEE OF PIKE CO..,INC. |
Practice Address |
7046 State Route 335 Beaver OH 45613-9034 |
Mailing Address |
941 Market St Piketon OH 45661-9757 |
Practice Telephone | 7402261924 |
Mailing Telephone | 7402892371 |
Enumeration Date | 2008-03-25 |
Last Update Date | 2008-04-02 |
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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0100134 | 05 | |
OH | 0989935 | 05 |
Street Address |
7046 STATE ROUTE 335 |
City | BEAVER |
State | OH |
Zip Code | 45613-9034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578701892 | Pike Co | Ambulance | 7000 St Rt 335, Beaver, OH 45613 | 2009-01-23 |
1720145097 | Beaver Pharmacy LLC | Pharmacy | 7046 State Rd 335, Beaver, OH 45613 | 2007-01-03 |
1083867238 | Shawna Diane Bobst | Licensed Practical Nurse | 609 Church St, Beaver, OH 45613-9314 | 2008-11-01 |
1952932642 | Derek Allen Lawhorn | Nurse Practitioner | 32 Sunset Ln, Beaver, OH 45613-9319 | 2020-01-31 |
1366634073 | Anna Barbara Ison | Licensed Practical Nurse | 1290 Bobo Rd, Beaver, OH 45613-9407 | 2007-08-16 |
1588051577 | Cynthia Helton | Home Health | 2520 Bobo Rd, Beaver, OH 45613-9408 | 2015-04-17 |
1497281190 | Mindie Bond | Speech-Language Pathologist | 3815 Coal Dock Rd, Beaver, OH 45613-9411 | 2017-05-02 |
1053616508 | Toni Rochelle Blair | Licensed Practical Nurse | 2537 Germany Rd, Beaver, OH 45613-9418 | 2011-01-13 |
1790083152 | Aillene Montgomery | Physical Therapy Assistant | 2600 Rapp Montgomery Rd, Beaver, OH 45613-9431 | 2011-03-09 |
1629271424 | Kristal Shay Dailey | Nurse Practitioner | 1170 Tile Mill Rd, Beaver, OH 45613-9435 | 2007-06-08 |
Find all providers in zip 45613 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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.