Canton Community Clinic

LBN: Richard D Watkins Canton Community Clinic, Inc.
Canton Community Clinic is an health care organization with primary practice located at 2725 Lincoln St E , Canton OH 44707-2769. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Richard D Watkins Canton Community Clinic, Inc. can be contacted via phone (330) 454-2000, or through Gembarosky, Penny A via phone (330) 454-2000.

Contact Information

Primary practice address
2725 Lincoln St E Canton OH 44707-2769
Phone: (330) 454-2000
Fax: (330) 454-6184
Website:
Map and Directions
Authorized official contact:
Name: Gembarosky, Penny A
Phone: (330) 454-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1720289903
LBN Legal business name Richard D Watkins Canton Community Clinic, Inc.
DBA Doing business as Canton Community Clinic
Authorized official Gembarosky, Penny A
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated May 8th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers