Goodwill Greater Cleveland And East Central Ohio is a
Clinic/center - Health Service based in Canton, Ohio. Goodwill Greater Cleveland And East Central Ohio is licensed to practice in * (Not Available) (license number ) and their current practice location is
408 Ninth Street Sw, Canton, Ohio. It can be reached at their office (for appointments etc.) via phone at
(330) 445-1035.
NPI number for Goodwill Greater Cleveland And East Central Ohio is 1194943860 and their current mailing address is 408 Ninth Street Sw, Canton, Ohio. Goodwill Greater Cleveland And East Central Ohio
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1194943860.
Healthcare Provider's Profile
| Full Name | Goodwill Greater Cleveland And East Central Ohio |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Health Service |
|---|
| Location | 408 Ninth Street Sw, Canton, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194943860
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 12/02/2022
Medical Identifiers
Medical identifiers for Goodwill Greater Cleveland And East Central Ohio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194943860 | NPI | - | NPPES |
| 733018 | Other | OH | BUCKEYE-MEDICAID HMO |
| 733018 | Other | OH | BUCKEYE HEALTH PLAN |
| 0303042 | Medicaid | OH | |
| 3303884 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | A00436 (Ohio) | Secondary |
| 235Z00000X | Speech-language Pathologist | SP2281 (Ohio) | Secondary |
| 235Z00000X | Speech-language Pathologist | SP8183 (Ohio) | Secondary |
| 235Z00000X | Speech-language Pathologist | SP3189 (Ohio) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Goodwill Greater Cleveland And East Central Ohio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Goodwill Greater Cleveland And East Central Ohio
408 Ninth Street Sw,
Canton, OH 44707
Ph: (330) 445-1059 | Goodwill Greater Cleveland And East Central Ohio
408 Ninth Street Sw,
Canton, OH 44707-4714
Ph: (330) 445-1035 |
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