Organization
MY COMMUNITY HEALTH CENTER
Active
Organization
MY COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY REGULA (CEO)
(330) 363-3179
Entity
Organization
Contact information
Practice address
10029 CLEVELAND AVE. SE, MAGNOLIA, OH 44643
(234) 386-0306
(234) 386-0106
Mailing address
2600 7TH ST SW, CANTON, OH 44710-1709
(330) 363-2218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
03/12/2020
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