| Stark Family Health Center | |
|
4465 Fulton Dr Nw Ste 100 Canton OH 44718-2851 | |
| (330) 497-2700 | |
| Not Available |
| Full Name | Stark Family Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 4465 Fulton Dr Nw Ste 100, Canton, Ohio |
| Authorized Official Name and Position | Rita Michelle Swisher (OFFICE MANAGER) |
| Authorized Official Contact | 3304972700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stark Family Health Center 4465 Fulton Dr Nw Ste 100 Canton OH 44718-2851 Ph: (330) 497-2700 | Stark Family Health Center 4465 Fulton Dr Nw Ste 100 Canton OH 44718-2851 Ph: (330) 497-2700 |
| NPI Number | 1780797365 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 03/03/2008 |
| Medicare PECOS PAC ID | 6608824016 |
|---|---|
| Medicare Enrollment ID | O20050112000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780797365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Benjamin Joel Swisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518923788 PECOS PAC ID: 7810894490 Enrollment ID: I20031218000305 |
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