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MARGARET B SHALEY CHILD HEALTH CLINIC INC NPI 1215021126


NPI Information

NPI: 1215021126
Provider Name: MARGARET B SHALEY CHILD HEALTH CLINIC INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 36D0343280

Address:
919 2ND ST NE
CANTON, OH
ZIP 44704
Phone: (330) 453-3386
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MARGARET B SHALEY CHILD HEALTH CLINIC INC is a pediatrics in Canton, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MARGARET B SHALEY CHILD HEALTH CLINIC INC NPI is 1215021126. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

919 2ND ST NE
CANTON, OH
ZIP 44704
Phone: (330) 453-3386
Fax: (330) 453-2362

The provider's authorized official is Joan B Smith .
The authorized official title is Office Manager and has the following contact phone number (330) 453-3386.

The CLIA number assigned to this NPI record is 36D0343280 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10248593MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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