Center Street Community Clinic, Inc
LBN: Center Street Community Clinic, Inc
Center Street Community Clinic, Inc is an health care organization with primary practice located at 125 Executive Dr Ste 201 , Marion OH 43302-6302. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Center Street Community Clinic, Inc can be contacted via phone (740) 387-3087, or through Cobb, Audrey via phone (740) 751-4531.
Contact Information
Primary practice address
125 Executive Dr Ste 201
Marion OH 43302-6302
Phone: (740) 387-3087
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1609657766 |
|---|---|
| LBN Legal business name | Center Street Community Clinic, Inc |
| DBA Doing business as | |
| Authorized official | Cobb, Audrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2023 |
| Last updated | Oct 13th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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