| Healthy U Academy, Llc | |
|
1226 Market Ave N Canton OH 44714-2604 | |
| (330) 607-0529 | |
| Not Available |
| Full Name | Healthy U Academy, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1226 Market Ave N, Canton, Ohio |
| Authorized Official Name and Position | Michael G Grimes (MD/OWNER) |
| Authorized Official Contact | 3306070529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy U Academy, Llc 6384 Hollyridge St Nw North Canton OH 44720-9402 Ph: () - | Healthy U Academy, Llc 1226 Market Ave N Canton OH 44714-2604 Ph: (330) 607-0529 |
| NPI Number | 1629592175 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629592175 | NPI | - | NPPES |
| GR4052321 | Other | OH | MEDICAID ID TYPE UNSPECIFIED |
| 2256311 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35077014G (Ohio) | Primary |
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