CLARKE FAMILY MEDICINE LLC NPI 1942445309

NPI Information

CLARKE FAMILY MEDICINE, LLC is a clinic center in Massillon, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CLARKE FAMILY MEDICINE, LLC NPI is 1942445309. The provider is registered as an organization entity type.

The provider's business location address is:

2520 WALES AVE NW STE 220
MASSILLON, OH
ZIP 44646-310
Phone: (330) 858-1566

The provider's authorized official is Ashley Williams Clarke .
The authorized official title is President and has the following contact phone number (330) 834-1473.

The CLIA number assigned to this NPI record is 36D1098019 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2008 and was last updated on 12/12/2008.

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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