GOODWILL GREATER CLEVELAND AND EAST CENTRAL OHIO NPI 1194943860

NPI Information

NPI: 1194943860
Provider Name: GOODWILL GREATER CLEVELAND AND EAST CENTRAL OHIO
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
408 NINTH STREET SW
CANTON, OH
ZIP 44707
Phone: (330) 445-1035
Get Directions

GOODWILL GREATER CLEVELAND AND EAST CENTRAL OHIO is a health service clinic center in Canton, OH. GOODWILL GREATER CLEVELAND AND EAST CENTRAL OHIO NPI is 1194943860. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

408 NINTH STREET SW
CANTON, OH
ZIP 44707-714
Phone: (330) 445-1035
Fax: (330) 454-1014

The provider's authorized official is Mark Trew .
The authorized official title is Chief Operating Officer and has the following contact phone number (330) 445-1035.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 12/2/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	231H00000X	Audiologist		A00436	OHIO	No
2	235Z00000X	Speech-Language Pathologist		SP2281	OHIO	No
3	235Z00000X	Speech-Language Pathologist		SP8183	OHIO	No
4	235Z00000X	Speech-Language Pathologist		SP3189	OHIO	No
5	261QH0100X	Clinic/Center	Health Service			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	733018	OTHER	OHIO	BUCKEYE-MEDICAID HMO
2	733018	OTHER	OHIO	BUCKEYE HEALTH PLAN
3	0303042	MEDICAID	OHIO
4	3303884	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »