Licking County Community Health Care
Clinic/Center in Newark, OH. Organization (NPI-2).
NPI number1174920102
StatusActive
Last updated in NPPESNov 19, 2014
Details
- NPI
- 1174920102
- Entity type
- Organization (NPI-2)
- Legal business name
- Licking County Community Health Care
- Organization subpart
- No
- Enumeration date
- Nov 19, 2014
- Last updated
- Nov 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 35045247 | OH | Yes |
Other names
- The Community Health Clinic (Doing Business As)
Practice location
144b W Main StNewark, OH 43055-5008
Phone 740-345-1613 · Fax 740-349-0956
Mailing address
144b W Main StNewark, OH 43055-5008
Phone 740-345-1613 · Fax 740-349-0956
Authorized official
Patrick J. Scarpitti
Medical Director
7403451613
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