| My Community Health Center | |
|
10029 Cleveland Ave. Se Magnolia OH 44643 | |
| (234) 386-0306 | |
| (234) 386-0106 |
| Full Name | My Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10029 Cleveland Ave. Se, Magnolia, Ohio |
| Authorized Official Name and Position | Terry Regula (CEO) |
| Authorized Official Contact | 3303633179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Community Health Center 2600 7th St Sw Canton OH 44710-1709 Ph: (330) 363-2218 | My Community Health Center 10029 Cleveland Ave. Se Magnolia OH 44643 Ph: (234) 386-0306 |
| NPI Number | 1306495312 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 03/12/2020 |
| Medicare PECOS PAC ID | 3971884636 |
|---|---|
| Medicare Enrollment ID | O20191209000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306495312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |