Organization
RICHARD D WATKINS CANTON COMMUNITY CLINIC, INC
Active
Organization
RICHARD D WATKINS CANTON COMMUNITY CLINIC, INC
Active
Other names
Mahoning Road Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID COLA DO (CEO)
(330) 454-2000
Entity
Organization
Contact information
Practice address
3015 MAHONING RD NE, CANTON, OH 44705-3335
(330) 454-2000
(330) 454-6184
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
Enumeration date
07/26/2013
Last updated
07/14/2014
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