CANTON COMMUNITY CLINIC – NPI #1013964923
Clinic/Center
CANTON COMMUNITY CLINIC is an AHC clinic located in CANTON, OH. NPPES has assigned the NPI number 1013964923 to CANTON COMMUNITY CLINIC on May 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CANTON COMMUNITY CLINIC” is a dba name, the actual legal business name for this organization is LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)
The NPI profile was previously updated about 7 years ago on May 02, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANTON COMMUNITY CLINIC below.
NPI Profile for
LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC
(more than 20 years ago)
CANTON, OH 44707-2769 Phone: (330) 454-2000 Fax: (330) 454-7284
CHIEF EXECUTIVE OFFICER
Phone: (330) 454-2000
Identifiers for CANTON COMMUNITY CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICARE PART B | 3619131 | |
| MEDICAID | OH | 2676288 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.