TOTAL LIVING CENTER FREE CLINIC (NPI# 1982748414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982748414 |
| Entity Type | Organization |
| Organization Name | TOTAL LIVING CENTER FREE CLINIC |
| Practice Address |
2221 9th St Sw Free Clinic 2221 9th St Sw Canton OH 44706 |
| Mailing Address |
2221 9th St Sw Canton OH 44706 |
| Practice Telephone | 3304553663 |
| Mailing Telephone | 3304780400 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | EDWARD ARTHUR HILL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3304780400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
O13679 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0842182 | 05 |
| Street Address |
2221 9TH ST SW FREE CLINIC 2221 9TH ST SW |
| City | CANTON |
| State | OH |
| Zip Code | 44706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255741666 | Garfield Academy, Inc. | Local Education Agency (LEA) | 1379 Garfield Sw, Canton, OH 44706 | 2014-05-07 |
| 1649283631 | Rohit Prakash | Internal Medicine | 255 Dueber Ave Sw, Canton, OH 44706 | 2006-08-14 |
| 1114936119 | Cindi Renea Dagenhard | Licensed Practical Nurse | 2851 Highview Ave Sw, Canton, OH 44706 | 2006-08-07 |
| 1982018859 | Anne M Mccurdy | Counselor | 811 Faircrest St Sw, Canton, OH 44706 | 2014-06-18 |
| 1326459207 | Marla Mcvicker | Counselor | 811 Faircrest Street Sw, Canton, OH 44706 | 2014-05-14 |
| 1124440607 | Jade Thursia Fishburn | Counselor | 811 Faircrest Street Sw, Canton, OH 44706 | 2014-01-17 |
| 1962831685 | Quest Recovery and Prevention Services, Inc. | Community/Behavioral Health | 811 Faircrest Street Sw, Canton, OH 44706 | 2013-11-04 |
| 1124049663 | Michael L Yutzy | Family Medicine | 2600 6th St Sw, Canton, OH 44706 | 2006-07-21 |
| 1669818092 | Linda May May | Registered Nurse | 217 Harrison Ave Sw, Canton, OH 44706-1118 | 2013-05-13 |
| 1114446770 | Melissa A Webster | Registered Nurse | 202 Arlington Ave Sw, Canton, OH 44706-1137 | 2017-09-14 |
| Find all providers in zip 44706 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1114117447 | Concentra Medical Center -- Canton | Clinic/Center | 1600 S Canton Center Rd, Suite 140, Canton, MI 48188-1992 | 2007-08-01 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.