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NPI Code Detail

MEDICARE: COMMUNITY ACTION COMMITTEE OF PIKE COUNTY

MEDICARE: COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1114107984
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Provider Business Mailing Address
First Line : 941 MARKET ST
Second Line :
City : PIKETON
State : OH
Zip : 45661-9757
Country : US
Telephone Number : 740-289-2371
Fax Number : 740-289-4291
Provider Business Practice Location Address
First Line : 227 VALLEY VIEW DR
Second Line :
City : WAVERLY
State : OH
Zip : 45690-9135
Country : US
Telephone Number : 740-947-7726
Fax Number : 740-947-9354
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. RAYMOND ROBERTS
Credential :
Telephone Number : 740-289-2371
Provider Enumeration Date : 11/09/2007
Last Update Date : 10/14/2021

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Directions to “COMMUNITY ACTION COMMITTEE OF PIKE COUNTY ” Practice Location

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