NPIMap

Center Street Community Clinic Inc

A Medicare group practice based in Marion, OH: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 7012815210), with 44 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012815210The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
6
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20031226000074 OH Part B Supplier - Clinic/Group Practice 1780984211
O20151215000058 OH Part A Provider - Federally Qualified Health Center (FQHC) 1811303068
O20200807001502 OH Part A Provider - Federally Qualified Health Center (FQHC) 1942840871
O20241023004690 OH Part B Supplier - Clinic/Group Practice 1609657766
O20240201001070 OH Part A Provider - Federally Qualified Health Center (FQHC) 1306627476
O20101230000722 OH Part A Provider - Federally Qualified Health Center (FQHC) 1780984211

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 44

Clinicians who reassign their Medicare benefits to this group (42) or whom Care Compare lists as members (12).

Sources for this page