Center Street Community Clinic, Inc
NPI 1306627476 · Federally Qualified Health Center (FQHC) · Marion, OH
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Center Street Community Clinic, Inc is a Federally Qualified Health Center (FQHC) organization in Marion, OH (NPI 1306627476).
Provider details
- NPI number
- 1306627476
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Audrey Cobb, Cfo(740) 751-4531
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-13
- Last updated
- 2023-12-22
- Certified
- 2023-12-22
Frequently asked questions
- What is Center Street Community Clinic, Inc's NPI number?
- Center Street Community Clinic, Inc's National Provider Identifier (NPI) is 1306627476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center Street Community Clinic, Inc?
- Center Street Community Clinic, Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Center Street Community Clinic, Inc located?
- Center Street Community Clinic, Inc's practice location on file with NPPES is 125 Executive Dr Ste 201, Marion, OH 43302-6302.
- What is Center Street Community Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Center Street Community Clinic, Inc is (740) 387-3087.
- Does Center Street Community Clinic, Inc accept Medicare?
- Center Street Community Clinic, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Center Street Community Clinic, Inc?
- The authorized official listed on Center Street Community Clinic, Inc's NPPES record is Audrey Cobb, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center Street Community Clinic, Inc's NPI active?
- Yes — Center Street Community Clinic, Inc's NPI (1306627476) is active in the NPPES registry as of the last update on 2023-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.