| Medcorp Of Stark County, Inc. | |
|
2500 Wales Ave Nw Massillon OH 44646-2324 | |
| (330) 833-8996 | |
| (330) 833-6969 |
| Full Name | Medcorp Of Stark County, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 Wales Ave Nw, Massillon, Ohio |
| Authorized Official Name and Position | Deborah D Wilson (OFFICE MANAGER) |
| Authorized Official Contact | 3308338996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcorp Of Stark County, Inc. 2500 Wales Ave Nw Massillon OH 44646-2324 Ph: (330) 833-8996 | Medcorp Of Stark County, Inc. 2500 Wales Ave Nw Massillon OH 44646-2324 Ph: (330) 833-8996 |
| NPI Number | 1013980044 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 07/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013980044 | NPI | - | NPPES |
| 0559908 | Medicaid | OH | |
| 9918911 | Other | OH | MEDICARE ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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