Affinity Medical Center | |
400 Austin Ave Nw Massillon OH 44646-3554 | |
(330) 837-7200 | |
(330) 830-1616 |
Full Name | Affinity Medical Center |
---|---|
Speciality | Psychiatric Unit |
Location | 400 Austin Ave Nw, Massillon, Ohio |
Authorized Official Name and Position | Tara Richardson (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6152213672 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Affinity Medical Center Po Box 10390 Fort Wayne IN 46852-0390 Ph: (330) 837-7200 | Affinity Medical Center 400 Austin Ave Nw Massillon OH 44646-3554 Ph: (330) 837-7200 |
NPI Number | 1508819798 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 04/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508819798 | NPI | - | NPPES |
0353853 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | PPH04-2460 (Ohio) | Primary |
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