Community Action Committee of Pike County

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COMMUNITY ACTION COMMITTEE OF PIKE COUNTY

Practice address

715 W Emmitt Ave
Waverly, OH 45690-1015

Phone

(740) 947-8777

NPI assigned

Oct 30, 2018

Last updated

Oct 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Bellomy

Title

Chief Operating Officer

Phone

(740) 947-7726

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Community Action Committee of Pike County

  • Federally Qualified Health Center (FQHC)
  • Piketon, OH
  • NPI 1205644614

  O20141022000689

  Same enrollment
• Community Action Committee of Pike County

  dba Valley View 23 North

  • Primary Care Clinic/Center
  • Waverly, OH
  • NPI 1417520966

  O20141022000689

  Same enrollment
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Portsmouth, OH
  • NPI 1578974929

  O20141022000689

  Same enrollment
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Manchester, OH
  • NPI 1972054914

  O20141022000689

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Brewster, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waverly, OH
  • NPI 1144658527
  NPD

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1245707108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 MARKET ST",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619757",
            "telephone_number": "740-289-2371",
            "fax_number": "740-289-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W EMMITT AVE",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901015",
            "telephone_number": "740-947-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION COMMITTEE OF PIKE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "BELLOMY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "740-947-7726"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Ryan Colley
• Kyle Colley
• Josh Combs
• Community Action Committee of Pike County
• Community Action Committee of Pike County (Valley View Health Center)
• Community Action Committee of Pike County (Valley View 23 North)
• Community Action Committee of Pike County
• Community Action Committee of Pike County (Valley View 23 North)
• Community Action Committee of Pike County
• Community Action Committee of Pike County (Valley View 23 North)

• Primary Care Clinic/Center in Waverly, OH
• Providers in Waverly, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.