| Portage Family Practice Clinic, Inc. | |
|
1413 Portage St Nw North Canton OH 44720-2288 | |
| (330) 499-7591 | |
| (330) 499-0308 |
| Full Name | Portage Family Practice Clinic, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1413 Portage St Nw, North Canton, Ohio |
| Authorized Official Name and Position | Leonard D Tamburro (PRESIDENT) |
| Authorized Official Contact | 3304997591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Family Practice Clinic, Inc. 1413 Portage St Nw North Canton OH 44720-2288 Ph: (330) 499-7591 | Portage Family Practice Clinic, Inc. 1413 Portage St Nw North Canton OH 44720-2288 Ph: (330) 499-7591 |
| NPI Number | 1083767677 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 10/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083767677 | NPI | - | NPPES |
| 0507268 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 34003002 (Ohio) | Primary |
Dr. Gary J. Guido, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5399 Lauby Rd Ste 205, North Canton, OH 44720 Phone: 330-760-2739 | |
Healthspan Integrated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4914 Portage St Nw, North Canton, OH 44720 Phone: 216-265-8810 Fax: 216-265-8890 | |
Stark County Internal Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 S Main St, Suite 101, North Canton, OH 44720 Phone: 330-497-8636 Fax: 330-497-8634 | |
Care On Demand Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6975 Promway Ave Nw, Suite C, North Canton, OH 44720 Phone: 305-915-2105 | |
North Canton Family Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Wilbur Dr Ne, North Canton, OH 44720 Phone: 330-494-6012 Fax: 330-494-0403 | |
Aultman North Canton Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1400 Fax: 330-433-1314 |