Healthcare Provider Details

I. General information

NPI: 1346557634
Provider Name (Legal Business Name): COMMUNITY ACTION PROGRAM CORP OF WASHINGTON/MORGAN COS.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2010
Last Update Date: 09/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

442 S MAIN ST
MALTA OH
43758
US

IV. Provider business mailing address

218 PUTNAM ST P.O. BOX 144
MARIETTA OH
45750-3014
US

V. Phone/Fax

Practice location:
  • Phone: 740-962-5266
  • Fax: 740-962-5888
Mailing address:
  • Phone: 740-373-3745
  • Fax: 740-373-6775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID EDWIN BRIGHTBILL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 740-373-3745