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CANTON FAMILY HEALTHCARE LLC NPI 1235671926


NPI Information

NPI: 1235671926
Provider Name: CANTON FAMILY HEALTHCARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 36D2122510

Address:
4590 DRESSLER RD NW
CANTON, OH
ZIP 44718
Phone: (330) 484-1607
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CANTON FAMILY HEALTHCARE LLC is a primary care clinic center in Canton, OH. CANTON FAMILY HEALTHCARE LLC NPI is 1235671926. The provider is registered as an organization entity type.

The provider's business location address is:

4590 DRESSLER RD NW
CANTON, OH
ZIP 44718-546
Phone: (330) 484-1607
Fax: (330) 484-2943

The provider's authorized official is Maria Angelica Marasigan Lupisan .
The authorized official title is Office Manager and has the following contact phone number (330) 484-1607.

The CLIA number assigned to this NPI record is 36D2122510 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2016 and was last updated on 8/17/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

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

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