Axesspointe Community Health Center Inc | |
143 Gougler Ave Kent OH 44240-2401 | |
(330) 673-1016 | |
Not Available |
Full Name | Axesspointe Community Health Center Inc |
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Speciality | Clinic/Center |
Location | 143 Gougler Ave, Kent, Ohio |
Authorized Official Name and Position | Christopher Richardson (CEO) |
Authorized Official Contact | 3306731016 |
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 44193-0001 Ph: (330) 673-1016 | Axesspointe Community Health Center Inc 143 Gougler Ave Kent OH 44240-2401 Ph: (330) 673-1016 |
NPI Number | 1376796862 |
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Provider Enumeration Date | 10/28/2008 |
Last Update Date | 10/26/2017 |
Medicare PECOS PAC ID | 5395705545 |
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Medicare Enrollment ID | O20081121000352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376796862 | NPI | - | NPPES |
2946914 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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