Organization · Type 2 NPI

Richard D Watkins Canton Community Clinic, Inc

Federally Qualified Health Center (FQHC) · Canton, OH

NPI number 1619319043 Active

Practice location

3015 Mahoning Rd NE
Canton, OH 44705-3335

Call (330) 454-2000 Map

Fax (330) 454-6184

Mailing address

2725 Lincoln St E
Canton, OH 44707-2769

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1619319043

Richard D Watkins Canton Community Clinic, Inc's National Provider Identifier is 1619319043, issued on Jul 26, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Canton, OH. The record was last updated on Jul 14, 2014.