Organization
MY COMMUNITY HEALTH CENTER
Active
Organization
MY COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN PAULO AFABLE (CEO)
(330) 363-3786
Entity
Organization
Contact information
Practice address
2600 7TH ST SW, CANTON, OH 44710-1709
(330) 363-6211
Mailing address
2600 7TH ST SW, CANTON, OH 44710-1709
(330) 363-2218
(330) 363-1357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0322293
—
OH
Enumeration date
08/01/2016
Last updated
04/18/2025
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