Provider Demographics
NPI:1356604680
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:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FRISONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-975-9188
Mailing Address - Street 1:PO BOX 933132
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193
Mailing Address - Country:US
Mailing Address - Phone:330-564-2697
Mailing Address - Fax:
Practice Address - Street 1:390 ROBINSON AVE
Practice Address - Street 2:SUITE E
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-3657
Practice Address - Country:US
Practice Address - Phone:330-564-2697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AXESSPOINTE COMMUNITY HEALTH CENTER,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
361013OtherPTAN