Portage Family Practice Clinic, Inc.

LBN: Portage Family Practice Clinic, Inc.
Portage Family Practice Clinic, Inc. is an health care organization with primary practice located at 1413 Portage St Nw , North Canton OH 44720-2288. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Portage Family Practice Clinic, Inc. can be contacted via phone (330) 499-7591, or through Tamburro, Leonard D via phone (330) 499-7591.

Contact Information

Primary practice address
1413 Portage St Nw North Canton OH 44720-2288
Phone: (330) 499-7591
Fax: (330) 499-0308
Website:
Map and Directions
Authorized official contact:
Name: Tamburro, Leonard D Doctor of Osteopathy (DO)
Phone: (330) 499-7591

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 34003002 Ohio

Profile Details

NPI number 1083767677
LBN Legal business name Portage Family Practice Clinic, Inc.
DBA Doing business as
Authorized official Tamburro, Leonard D Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Oct 25th, 2011 - about 13 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 1083767677 NPPES
Ohio MEDICAID 0507268

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