Organization
LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC
Active
Organization
LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC
Active
Other names
Canton Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN SEEBERGER (CHIEF EXECUTIVE OFFICER)
(330) 454-2000
Entity
Organization
Contact information
Practice address
2725 LINCOLN ST E, CANTON, OH 44707-2769
(330) 454-2000
(330) 454-7284
Mailing address
2725 LINCOLN ST E, CANTON, OH 44707-2769
(330) 454-2000
(330) 454-7284
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2676288
—
OH
01
—
3619131
MEDICARE PART B
—
Enumeration date
05/27/2006
Last updated
05/02/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up