My Community Health Center

NPI #1659146884 in Canton, Ohio

Provider Information

NPI Number: 1659146884
Entity Type: Organization
Organization Name: My Community Health Center
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Nov 17, 2023
Last Updated: Dec 22, 2023

Practice Location

Address: 1318 GONDER AVE SE UNIT 1
City: Canton
State: Ohio
ZIP Code: 44707-3450
Phone: (330) 639-1071

Authorized Official

Name: JUAN PAULO AFABLE
Title: CEO
Phone: (330) 363-3786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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