Lifecare Family Health and Dental Center, Inc.

A Medicare group practice based in Canton, OH: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 7315959483), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7315959483The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
5
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20060608000292 OH Part A Provider - Federally Qualified Health Center (FQHC) 1013964923
O20240905001636 OH Part A Provider - Federally Qualified Health Center (FQHC) 1134959000
O20160226001515 OH Part A Provider - Federally Qualified Health Center (FQHC) 1144694621
O20131031001454 OH Part B Supplier - Clinic/Group Practice 1013964923
O20140117000859 OH Part A Provider - Federally Qualified Health Center (FQHC) 1851592034

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 23

Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (13).

Sources for this page