Center Street Community Clinic, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CENTER STREET COMMUNITY CLINIC, INC

Practice address

420 Presidential Dr
Marion, OH 43302-5173

Phone

(740) 751-6380

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTER STREET COMMUNITY CLINIC INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Audrey Cobb

Title

Cfo

Phone

(740) 751-4531

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1104721083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023704",
            "telephone_number": "740-751-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 PRESIDENTIAL DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025173",
            "telephone_number": "740-751-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STREET COMMUNITY CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER STREET COMMUNITY CLINIC INC",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-751-4531"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Caudill
• Center Street Community Clinic Inc
• Center Street Community Clinic Inc (Center Street Community Clinic)
• Center Street Community Clinic Inc (Center Street Community Health Center)
• Center Street Community Clinic Inc (Morrow Family Health Center Dental)
• Center Street Community Clinic, Inc
• Center Street Community Clinic, Inc (Center Street Community Health Center)
• Center Street Community Clinic, Inc (Center Street Pharmacy)
• Center Street Community Clinic, Inc
• Center Street Community Clinic, Inc

• Federally Qualified Health Center (FQHC) in Marion, OH
• Providers in Marion, OH by specialty
• Federally Qualified Health Center (FQHC) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.