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NPI Code Detail

MEDICARE: COMMUNITY ACTION AGENCY OF COLUMBIANA CNTY, INC

MEDICARE: COMMUNITY ACTION AGENCY OF COLUMBIANA CNTY, INC
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
1261QP2300XPrimary Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174627624
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY ACTION AGENCY OF COLUMBIANA CNTY, INC
Provider Business Mailing Address
First Line : 7880 LINCOLE PL
Second Line :
City : LISBON
State : OH
Zip : 44432-8322
Country : US
Telephone Number : 330-424-7221
Fax Number : 330-424-3731
Provider Business Practice Location Address
First Line : 38722 SALTWELL RD
Second Line :
City : LISBON
State : OH
Zip : 44432-8303
Country : US
Telephone Number : 330-424-4192
Fax Number : 330-424-3137
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : BETH A WEIR
Credential :
Telephone Number : 330-424-7221
Provider Enumeration Date : 09/12/2006
Last Update Date : 07/13/2007

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Directions to “COMMUNITY ACTION AGENCY OF COLUMBIANA CNTY, INC ” Practice Location

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