CENTER STREET COMMUNITY CLINIC
NPI 1346417417
Clinic/Center - Federally Qualified Health Center (FQHC) in Marion, OH

Active since May 08, 2008CLIA 36D0885041 · Waiver
205 W CENTER ST, SUITE 200, MARION, OH 43302(740) 751-4189(740) 751-4866 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Center Street Community Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER STREET COMMUNITY CLINIC (NPI 1346417417) is a healthcare organization registered as a federally qualified health center (fqhc) in Marion, Ohio and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Cliff G Edwards, Ceo/executive Director, as its authorized official.

NPPES Registry Identity

NPI1346417417
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTER STREET COMMUNITY CLINIC INC
Location Address205 W CENTER ST, SUITE 200Marion, OH 43302-3700
Mailing Address205 W Center St, Suite 200Marion, OH 43302-3700 · (740) 751-4189 · Fax (740) 751-4866
Fax(740) 751-4866
Organization SubpartNo
Authorized OfficialCliff G EdwardsCeo/executive Director · (740) 751-6380
Enumeration DateMay 8, 2008
Last NPPES UpdateJanuary 21, 2015
NPI 1346417417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
205 W CENTER ST, Marion, OH 43302

Other Names 1

Doing Business AsCenter Street Community Clinic

Other Identifiers 2

Medicaid2859509OH
Medicare OSCAR/certification361925OH

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0885041

Center Street Community Clinic · Marion, OH
Active · expires Apr 13, 2028
CLIA Number36D0885041
Laboratory TypeOther
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorLindsey Clark
Laboratory Phone(740) 751-6380
Laboratory LocationCenter Street Community Clinic136 West Center Street, Marion, OH 43302
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
205 W CENTER ST
MARION, OH 43302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center Street Community Clinic Inc's NPI number?

The NPI number for Center Street Community Clinic Inc is 1346417417. It was assigned to this organization in the NPPES registry on May 8, 2008. The provider is doing business as Center Street Community Clinic.

Where is Center Street Community Clinic Inc located?

Center Street Community Clinic Inc is located at 205 W Center St Suite 200, Marion, OH 43302. The listed phone number is (740) 751-4189.

What is Center Street Community Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Center Street Community Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0885041) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Center Street Community Clinic Inc was last updated on January 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.