NPIMap

Organization Active NPI

Center Street Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Marion, OH
National Provider Identifier
1821440629
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTER STREET COMMUNITY CLINIC INC
Doing business as
Morrow Family Health Center Dental
Practice address
136 W Center St
Marion, OH 43302-3704
Phone
(740) 751-4189
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Mrs. Audrey Akins, CFO
Title
Cfo
Phone
(740) 751-4531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

136 W Center St
Marion, OH 43302-3704

Mailing address

9 W High St
Mount Gilead, OH 43338-1212
Phone (419) 946-3856

Other names 1

  • Morrow Family Health Center Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center Street Community Clinic Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9 W High St
Mount Gilead, OH 43338
Phone (419) 946-3856

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1821440629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W HIGH ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381212",
            "telephone_number": "419-946-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023704",
            "telephone_number": "740-751-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STREET COMMUNITY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "AKINS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-751-4531",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrow Family Health Center Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.