Provider Demographics
NPI:1043084940
Name:AXESSPOINTE COMMUNITY HEALTH CENTER INC
Entity Type:Organization
Organization Name:AXESSPOINTE COMMUNITY HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS/COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-564-8681
Mailing Address - Street 1:PO BOX 933132
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0036
Mailing Address - Country:US
Mailing Address - Phone:800-288-2818
Mailing Address - Fax:330-668-2116
Practice Address - Street 1:1357 HOME AVE # 1
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-2549
Practice Address - Country:US
Practice Address - Phone:800-288-2818
Practice Address - Fax:330-668-2116
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AXESSPOINTE COMMUNITY HEALTH CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals