CANTON COMMUNITY CLINIC
NPI 1013964923
Clinic/Center - Federally Qualified Health Center (FQHC) in Canton, OH
About Canton Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANTON COMMUNITY CLINIC (NPI 1013964923) is a healthcare organization registered as a federally qualified health center (fqhc) in Canton, Ohio and active in the NPI registry since May 2006. The organization holds 3 active CLIA laboratory certificates and lists Kathryn Seeberger, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Canton Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Canton Community Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 21Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D0908398
Lifecare Family Health And Dental · Canton, OHCertificate of Waiver 36D2108279
Lifecare Family Health And Dental · Massillon, OHCertificate of Waiver 36D2035277
Lifecare Family Health And Dental · Canton, OHFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lifecare Family Health And Dental Center, Inc's NPI number?
The NPI number for Lifecare Family Health And Dental Center, Inc is 1013964923. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Canton Community Clinic.
Where is Lifecare Family Health And Dental Center, Inc located?
Lifecare Family Health And Dental Center, Inc is located at 2725 Lincoln St E, Canton, OH 44707. The listed phone number is (330) 454-2000.
What is Lifecare Family Health And Dental Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Lifecare Family Health And Dental Center, Inc enrolled in Medicare?
Yes. Lifecare Family Health And Dental Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifecare Family Health And Dental Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 7 Medicare specialties reassign their Medicare billing to Lifecare Family Health And Dental Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (6), Nurse Practitioner (6) and Clinical Social Worker (3). Of these, 4 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lifecare Family Health And Dental Center, Inc hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Lifecare Family Health And Dental Center, Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Lifecare Family Health And Dental Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lifecare Family Health And Dental Center, Inc was last updated on May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Canton Community Clinic · NPI 1013964923
Federally Qualified Health Center (FQHC) organization in Canton, Ohio. Organization record, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1013964923 (Entity type: Organization)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Lifecare Family Health And Dental Center, Inc
- **Organization subpart:** No
- **Authorized official:** Kathryn Seeberger, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 2725 LINCOLN ST E, Canton, OH 44707-2769
- **Phone:** (330) 454-2000 · **Fax:** (330) 454-7284
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (6), Nurse Practitioner (6), Clinical Social Worker (3); 4 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1013964923/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 2, 2019
- **Other identifiers:** Other 3619131; Medicaid 2676288 (OH)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013964923) · Data from the CMS NPPES public registry.