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Center Street Community Clinic, INC

Clinic/Center, Federally Qualified Health Center (FQHC) in Marion, OH. Organization (NPI-2).

NPI number1104721083
StatusActive
Last updated in NPPESOct 12, 2026

Details

NPI
1104721083
Entity type
Organization (NPI-2)
Legal business name
Center Street Community Clinic, INC
Organization subpart
Yes
Enumeration date
Oct 12, 2026
Certification date
Oct 12, 2026
Last updated
Oct 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes

Practice location

420 Presidential Dr
Marion, OH 43302-5173

Phone 740-751-6380

Mailing address

136 W Center St
Marion, OH 43302-3704

Phone 740-751-6380

Authorized official

Audrey Cobb
Cfo
7407514531

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Other Federally Qualified Health Center (FQHC) providers in Marion, OH

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