Medcorp Of Stark County, Inc.

LBN: Medcorp Of Stark County, Inc.
Medcorp Of Stark County, Inc. is an health care organization with primary practice located at 2500 Wales Ave Nw , Massillon OH 44646-2324. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Medcorp Of Stark County, Inc. can be contacted via phone (330) 833-8996, or through Wilson, Deborah D via phone (330) 833-8996.

Contact Information

Primary practice address
2500 Wales Ave Nw Massillon OH 44646-2324
Phone: (330) 833-8996
Fax: (330) 833-6969
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Deborah D
Phone: (330) 833-8996

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1013980044
LBN Legal business name Medcorp Of Stark County, Inc.
DBA Doing business as
Authorized official Wilson, Deborah D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013980044 NPPES
Ohio MEDICAID 0559908
Ohio Other 9918911

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