Axesspointe Community Health Center, Inc | |
390 Robinson Ave Suite E Barberton OH 44203-3657 | |
(330) 564-2697 | |
Not Available |
Full Name | Axesspointe Community Health Center, Inc |
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Speciality | Clinic/Center |
Location | 390 Robinson Ave, Barberton, Ohio |
Authorized Official Name and Position | Christopher Richardson (CEO) |
Authorized Official Contact | 3305642697 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Axesspointe Community Health Center, Inc Po Box 933132 Cleveland OH 44193 Ph: (330) 564-2697 | Axesspointe Community Health Center, Inc 390 Robinson Ave Suite E Barberton OH 44203-3657 Ph: (330) 564-2697 |
NPI Number | 1356604680 |
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Provider Enumeration Date | 06/21/2012 |
Last Update Date | 10/26/2017 |
Medicare PECOS PAC ID | 5395705545 |
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Medicare Enrollment ID | O20121003000732 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356604680 | NPI | - | NPPES |
361013 | Other | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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