TOTAL LIVING CENTER FREE CLINIC NPI 1982748414

NPI Information

NPI: 1982748414
Provider Name: TOTAL LIVING CENTER FREE CLINIC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2221 9TH ST SW FREE CLINIC
2221 9TH ST SW
CANTON, OH
ZIP 44706
Phone: (330) 455-3663
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TOTAL LIVING CENTER FREE CLINIC is a health service clinic center in Canton, OH. TOTAL LIVING CENTER FREE CLINIC NPI is 1982748414. The provider is registered as an organization entity type.

The provider's business location address is:

2221 9TH ST SW FREE CLINIC
2221 9TH ST SW
CANTON, OH
ZIP 44706
Phone: (330) 455-3663

The provider's authorized official is Edward Arthur Hill .
The authorized official title is Medical Director and has the following contact phone number (330) 478-0400.

The enumeration date for this NPI number is 2/17/2007 and was last updated on 7/30/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	O13679	OHIO	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	0842182	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

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