Organization Active NPI

City of Canton

Doing business as Canton City Health Department

  • State or Local Public Health Clinic/Center
  • Canton, OH
National Provider Identifier
1396964920
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CITY OF CANTON
Doing business as
Canton City Health Department
Practice address
420 Market Ave N
Canton, OH 44702-1544
Phone
(330) 489-3322
Fax
(330) 430-7857
NPI assigned
Apr 24, 2007
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James M Adams, MPH
Title
Health Commissioner
Phone
(330) 489-3231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

420 Market Ave N
Canton, OH 44702-1544

Mailing address

420 Market Ave N
Canton, OH 44702-1544
Phone (330) 489-3322

Other identifiers 3

IdentifierTypeStateIssuer
734303OtherOHBUCKEYE
34600504026OtherOHCARESOURCE
0917459MedicaidOH

Other names 1

  • Canton City Health Department Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0672229Canton City Health Department (Canton City420 Market Avenue North, Canton, OH 44702ComplianceDec 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Canton City HLTH Dept2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

420 Market Ave N
Canton, OH 44702
Phone (330) 489-3322

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1396964920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021544",
            "telephone_number": "330-489-3322",
            "fax_number": "330-430-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021544",
            "telephone_number": "330-489-3322",
            "fax_number": "330-430-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CANTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "330-489-3231",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "734303",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "34600504026",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0917459",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canton City Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.