LIFECARE FAMILY HEALTH AND DENTAL CENTER INC NPI 1013964923

NPI Information

LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC is a federally qualified health center (fqhc) clinic center in Canton, OH. LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC NPI is 1013964923. The provider is registered as an organization entity type.
The provider Is Doing Business As Canton Community Clinic.

The provider's business location address is:

2725 LINCOLN ST E
CANTON, OH
ZIP 44707-769
Phone: (330) 454-2000
Fax: (330) 454-7284

The provider's authorized official is Kathryn Seeberger .
The authorized official title is Chief Executive Officer and has the following contact phone number (330) 454-2000.

The CLIA number assigned to this NPI record is 36D0908398 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 5/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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