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Portage Family Practice Clinic, Inc.
Clinic/Center in North Canton, Ohio
NPI 1083767677

Portage Family Practice Clinic, Inc. is a Clinic/Center based in North Canton, OH. Portage Family Practice Clinic, Inc. practices in North Canton, OH. The NPI Number for Portage Family Practice Clinic, Inc. is 1083767677 and holds a License No. 34003002 (Ohio).

The current practice location address for Portage Family Practice Clinic, Inc. is 1413 Portage St Nw, North Canton, OH and can be reached out via phone at 330-499-7591 and via fax at 330-499-0308.

Location: 1413 Portage St Nw, North Canton, OH, 44720-2288
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083767677
Provider Name
Portage Family Practice Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
1413 Portage St Nw, North Canton, OH, 44720-2288
Phone Number
330-499-7591
Fax Number
330-499-0308
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0507268 05 OH
institution
Provider Business Practice Location Address Details
Address
1413 Portage St Nw
City
North Canton
State
Ohio
Zip
44720-2288
Phone Number
330-499-7591
Fax Number
330-499-0308
person
Provider Business Mailing Address Details
Address
1413 Portage St Nw
City
North Canton
State
Ohio
Zip
44720-2288
Phone Number
330-499-7591
Fax Number
330-499-0308
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
34003002 (Ohio)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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