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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CENTER STREET COMMUNITY CLINIC, INC
NPI 1609657766
Clinic/Center - Multi-Specialty in Marion, OH

Active since October 13, 2023
125 EXECUTIVE DR STE 201, MARION, OH 43302(740) 387-3087 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, Oct 13, 2023 (2 updates tracked since 2023).

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

NPI1609657766
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCENTER STREET COMMUNITY CLINIC, INC
Location Address125 EXECUTIVE DR STE 201Marion, OH 43302-6302
Mailing Address136 W Center StMarion, OH 43302-3704 · (740) 751-4531
Phone(740) 387-3087
Organization SubpartNo
Authorized OfficialAudrey CobbCfo · (740) 751-4531
Enumeration DateOctober 13, 2023
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1609657766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
125 EXECUTIVE DR STE 201, Marion, OH 43302
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Secondary Practice Location 1

Location 1136 W Center StMarion, OH 43302-3704 · Phone (740) 751-6380

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

CENTER STREET COMMUNITY CLINIC, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
125 EXECUTIVE DR STE 201
MARION, OH 43302
Marion County (740) 387-3087
DR. JOSEPH TIMOTHY SPARE M.D.
Psychiatry & Neurology (Psychiatry)
125 EXECUTIVE DR STE 201
MARION, OH 43302
Marion County (740) 387-3087

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.

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 8 days 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.