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CANTON COMMUNITY CLINIC
NPI 1720289903
Clinic/Center - Federally Qualified Health Center (FQHC) in Canton, OH

Active since May 29, 2007
2725 LINCOLN ST E, CANTON, OH 44707(330) 454-2000(330) 454-6184 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canton Community Clinic NPPES

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

CANTON COMMUNITY CLINIC (NPI 1720289903) is a healthcare organization registered as a federally qualified health center (fqhc) in Canton, Ohio and active in the NPI registry since May 2007. The organization lists Penny A Gembarosky, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1720289903
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRICHARD D WATKINS CANTON COMMUNITY CLINIC, INC.
Location Address2725 LINCOLN ST ECanton, OH 44707-2769
Mailing Address2725 Lincoln St ECanton, OH 44707-2769 · (330) 454-2000 · Fax (330) 454-6184
Phone(330) 454-2000
Fax(330) 454-6184
Organization SubpartNo
Authorized OfficialPenny A GembaroskyChief Financial Officer · (330) 454-2000
Enumeration DateMay 29, 2007
Last NPPES UpdateMay 8, 2008
✔ NPI 1720289903 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
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Other Names 1

Doing Business AsCanton Community Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2725 LINCOLN ST E
CANTON, OH 44707
Stark County (330) 454-2000
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

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 Richard D Watkins Canton Community Clinic, Inc.'s NPI number?

The NPI number for Richard D Watkins Canton Community Clinic, Inc. is 1720289903. It was assigned to this organization in the NPPES registry on May 29, 2007. The provider is doing business as Canton Community Clinic.

Where is Richard D Watkins Canton Community Clinic, Inc. located?

Richard D Watkins Canton Community Clinic, Inc. is located at 2725 Lincoln St E, Canton, OH 44707. The listed phone number is (330) 454-2000.

What is Richard D Watkins Canton Community Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Richard D Watkins Canton Community Clinic, Inc. accept?

Health plans from CareSource list Richard D Watkins Canton Community Clinic, 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 Richard D Watkins Canton Community Clinic, Inc. was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.