Community Action Committee Of Pike County
Clinic/Center, Federally Qualified Health Center (FQHC) in West Portsmouth, OH. Organization (NPI-2).
NPI number1003908930
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1003908930
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Action Committee Of Pike County
- Organization subpart
- No
- Enumeration date
- Sep 28, 2006
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- West Portsmouth Family Practice (Doing Business As)
Practice location
23030 State Route 73West Portsmouth, OH 45663-8861
Phone 740-858-1063
Mailing address
941 Market StPiketon, OH 45661-9757
Phone 740-289-2371
Authorized official
Keith Eric Pitts
Executive Director
7402892371
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