STARK COUNTY FOOT & ANKLE CLINIC; NPI #1023059102

Contact Information

STARK COUNTY FOOT & ANKLE CLINIC

323 MARION AVE NW
SUITE 101
MASSILLON, OH 44646

Phone: 330-837-7715
Fax: 330-837-7645
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for STARK COUNTY FOOT & ANKLE CLINIC

NPI Number 1023059102

LBN Legal business name STARK COUNTY FOOT & ANKLE CLINIC

Authorized official STACY DIEHL - (INSURANCE CLAIMS PROCESSOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/09/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

OH	License #	OH36002987
OH	Medicaid	2413650

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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STARK COUNTY FOOT & ANKLE CLINIC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for STARK COUNTY FOOT & ANKLE CLINIC

Reviews for STARK COUNTY FOOT & ANKLE CLINIC