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Organization

TOTAL LIVING CENTER FREE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD ARTHUR HILL MD (MEDICAL DIRECTOR)
(330) 478-0400
Entity
Organization

Contact information

Practice address
2221 9TH ST SW FREE CLINIC, 2221 9TH ST SW, CANTON, OH 44706
(330) 455-3663
Mailing address
2221 9TH ST SW, CANTON, OH 44706
(330) 478-0400

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
O13679
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0842182
OH
Enumeration date
02/17/2007
Last updated
07/30/2008
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