Healthcare Provider Details

I. General information

NPI: 1730408527
Provider Name (Legal Business Name): NORTON COMMUNITY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 02/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 WOOSTER RD W
NORTON OH
44203-6262
US

IV. Provider business mailing address

5225 WOOSTER RD W
NORTON OH
44203-6262
US

V. Phone/Fax

Practice location:
  • Phone: 330-706-9000
  • Fax: 330-889-4034
Mailing address:
  • Phone: 330-706-9000
  • Fax: 330-889-4034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number35088417
License Number StateOH

VIII. Authorized Official

Name: LYNN SCHUMAKER
Title or Position: OFFICE MANAGER
Credential:
Phone: 330-780-8778