NPIMap

Organization Active NPI

Community Action Committee of Pike County

Doing business as Valley View Health Center-Emmitt Avenue

  • Federally Qualified Health Center (FQHC)
  • Waverly, OH
National Provider Identifier
1891271938
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Doing business as
Valley View Health Center-Emmitt Avenue
Practice address
715 W Emmitt Ave
Waverly, OH 45690-1015
Phone
(740) 947-8777
NPI assigned
Jul 12, 2018
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

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

Addresses

Primary practice location

715 W Emmitt Ave
Waverly, OH 45690-1015

Mailing address

941 Market St
Piketon, OH 45661-9757
Phone (740) 289-2371

Other identifiers 1

IdentifierTypeStateIssuer
0329341MedicaidOH

Other names 1

  • VALLEY VIEW HEALTH CENTER-EMMITT AVENUE Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1891271938",
    "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": "740-289-4291"
        },
        {
            "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": "2018-07-12",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0329341",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY VIEW HEALTH CENTER-EMMITT AVENUE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VALLEY VIEW HEALTH CENTER-EMMITT AVENUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.