| My Community Health Center | |
|
1318 Gonder Ave Se Unit 1 Canton OH 44707-3450 | |
| (330) 639-1071 | |
| (330) 639-1072 |
| Full Name | My Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1318 Gonder Ave Se Unit 1, Canton, Ohio |
| Authorized Official Name and Position | Juan Paulo Afable (CEO) |
| Authorized Official Contact | 3303633786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Community Health Center 2600 7th St. Sw Canton OH 44710 Ph: (330) 363-2218 | My Community Health Center 1318 Gonder Ave Se Unit 1 Canton OH 44707-3450 Ph: (330) 639-1071 |
| NPI Number | 1659146884 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Medicare PECOS PAC ID | 3971884636 |
|---|---|
| Medicare Enrollment ID | O20240201002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659146884 | NPI | - | NPPES |
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