Total Living Center Free Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

O13679 Issued in OH

Legal business name

TOTAL LIVING CENTER FREE CLINIC

Practice address

2221 9TH St SW Free Clinic
2221 9TH St SW
Canton, OH 44706

Phone

(330) 455-3663

NPI assigned

Feb 17, 2007

Organization subpart

No

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

Authorized official

Name

Edward Arthur Hill, MD

Title

Medical Director

Phone

(330) 478-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gail Fronia Graham, PHD, NP-C

  • Adult Health Nurse Practitioner
  • Canton, OH
  • NPI 1174898431
  NPD (past)
• Kellie Suzanne Johnson, MD

  • General Practice Physician
  • Canton, OH
  • NPI 1447307632
  NPD (past)
• Dennis Bruce Kolarik, D.O.

  • Orthopaedic Surgery Physician
  • Canton, OH
  • NPI 1184867160
  NPD (past)

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1982748414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 9TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44706",
            "telephone_number": "330-478-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 9TH ST SW FREE CLINIC",
            "address_2": "2221 9TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44706",
            "telephone_number": "330-455-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LIVING CENTER FREE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-478-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "O13679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0842182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Tong, LPCC-S
• Tammra R Tongret
• Thomas Tonya, CNP
• Top Echelon Contracting, Inc.
• Ebony Torrence, LPN
• Total Medical Care
• Total Renal Care Inc (Mercy Canton Dialysis)
• Total Renal Care Inc (Belden Community Dialysis)
• Total Women's Care, Inc
• Kathleen Toth

• Health Service Clinic/Center in Canton, OH
• Providers in Canton, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.