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CANTON COMMUNITY CLINIC
NPI 1013964923
Clinic/Center - Federally Qualified Health Center (FQHC) in Canton, OH

Active since May 27, 2006CLIA Certified · 3 labs
2725 LINCOLN ST E, CANTON, OH 44707(330) 454-2000(330) 454-7284 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1013964923
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLIFECARE FAMILY HEALTH AND DENTAL CENTER, INC
Location Address2725 LINCOLN ST ECanton, OH 44707-2769
Mailing Address2725 Lincoln St ECanton, OH 44707-2769 · (330) 454-2000 · Fax (330) 454-7284
Phone(330) 454-2000
Fax(330) 454-7284
Organization SubpartNo
Authorized OfficialKathryn SeebergerChief Executive Officer · (330) 454-2000
Enumeration DateMay 27, 2006
Last NPPES UpdateMay 2, 2019
✔ NPI 1013964923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2725 LINCOLN ST E, Canton, OH 44707
Open in Google Maps ↗

Other Names 1

Doing Business AsCanton Community Clinic

Other Identifiers 2

Other3619131Medicare Part B
Medicaid2676288OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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, OH
Active · expires Nov 5, 2027
CLIA Number36D0908398
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorDavid M. Cola
Laboratory Phone(330) 454-2000
Laboratory LocationLifecare Family Health And Dental2725 Lincoln Street East, Canton, OH 44707
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2108279

Lifecare Family Health And Dental · Massillon, OH
Active · expires Feb 1, 2028
CLIA Number36D2108279
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorDavid M. Cola
Laboratory Phone(330) 454-2000
Laboratory LocationLifecare Family Health And Dental830 Amherst Road NE, Massillon, OH 44646
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2035277

Lifecare Family Health And Dental · Canton, OH
Active · expires Jan 12, 2028
CLIA Number36D2035277
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorDavid M. Cola
Laboratory Phone(330) 454-2000
Laboratory LocationLifecare Family Health And Dental408 Ninth Street SW, Canton, OH 44707
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAKE SAMUEL KALKSTEIN DDS
Dentist (General Practice)
2725 LINCOLN ST E
CANTON, OH 44707
Stark County (330) 454-2000
KASEY MERCURIO CNP
Nurse Practitioner (Acute Care)
2725 LINCOLN ST E
CANTON, OH 44707
Stark County (330) 454-2000
RACHEL SINGER CNP
Nurse Practitioner (Family)
2725 LINCOLN ST E
CANTON, OH 44707
Stark County (330) 454-2000
EMILY REUSSER D.D.S.
Dentist
2725 LINCOLN ST E
CANTON, OH 44707
Stark County (330) 454-2000
THOMAS K MUN D.D.S.
Dentist (General Practice)
2725 LINCOLN ST E
CANTON, OH 44707
Stark County (330) 454-2000
JESSICA LEANNE TUCKER APRN
Nurse Practitioner (Primary Care)
2725 LINCOLN ST E
CANTON, OH 44707
Stark County (330) 454-2000
FELECIA NICOLE LILLY PA-C
Physician Assistant
2725 LINCOLN ST E
CANTON, OH 44707
Stark County (330) 454-2000
REBECCA J RICHARDS LISW
Social Worker
2725 LINCOLN ST E
CANTON, OH 44707
Stark County (330) 454-2000

Frequently 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.

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.