PORTAGE FAMILY PRACTICE CLINIC, INC.
NPI 1083767677
Clinic/Center in North Canton, OH

Active since January 19, 2007
1413 PORTAGE ST NW, NORTH CANTON, OH 44720(330) 499-7591(330) 499-0308 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Portage Family Practice Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTAGE FAMILY PRACTICE CLINIC, INC. (NPI 1083767677) is a healthcare organization registered as a clinic/center in North Canton, Ohio and active in the NPI registry since January 2007. The organization lists Leonard D Tamburro, President, as its authorized official.

NPPES Registry Identity

NPI1083767677
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePORTAGE FAMILY PRACTICE CLINIC, INC.
Location Address1413 PORTAGE ST NWNorth Canton, OH 44720-2288
Mailing Address1413 Portage St NwNorth Canton, OH 44720-2288 · (330) 499-7591 · Fax (330) 499-0308
Fax(330) 499-0308
Organization SubpartNo
Authorized OfficialLeonard D TamburroPresident · (330) 499-7591
Enumeration DateJanuary 19, 2007
Last NPPES UpdateOctober 25, 2011
NPI 1083767677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in OH · 34003002
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1413 PORTAGE ST NW, North Canton, OH 44720

Other Identifiers 3

Other=========00OH · Workers Compensation
Medicaid0507268OH
Medicare ID-Type UnspecifiedPO9268521OH · Group

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083767677, enumerated as an "organization" on January 19, 2007.

The provider is located at 1413 PORTAGE ST NW NORTH CANTON, OH 44720 and the phone number is (330) 499-7591.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.