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
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