CENTER STREET COMMUNITY CLINIC, INC
NPI 1609657766
Clinic/Center - Multi-Specialty in Marion, OH
About Center Street Community Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTER STREET COMMUNITY CLINIC, INC (NPI 1609657766) is a healthcare organization registered as a multi-specialty in Marion, Ohio and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Marion and lists Audrey Cobb, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Center Street Community Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Center Street Community Clinic, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1609657766. It was assigned to this organization in the NPPES registry on October 13, 2023.
Where is Center Street Community Clinic, Inc located?
Center Street Community Clinic, Inc is located at 125 Executive Dr Ste 201, Marion, OH 43302. The listed phone number is (740) 387-3087.
What is Center Street Community Clinic, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Center Street Community Clinic, Inc enrolled in Medicare?
Yes. Center Street Community Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Center Street Community Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Center Street Community Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Center Street Community Clinic, Inc was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Center Street Community Clinic, Inc · NPI 1609657766
Multi-Specialty organization in Marion, Ohio. Organization record, active in the CMS NPPES registry since October 13, 2023.
## Identity
- **NPI:** 1609657766 (Entity type: Organization)
- **Enumerated:** October 13, 2023
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Audrey Cobb, CFO
## Practice location
- **Address:** 125 EXECUTIVE DR STE 201, Marion, OH 43302-6302
- **Phone:** (740) 387-3087
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609657766) · Data from the CMS NPPES public registry.