Organization · NPI-2

Canterbury House Direct Primary Care

Family Medicine · Mentor, OH

NPI number1700715240
StatusActive
Last updated in NPPESMay 19, 2026

Details

NPI
1700715240
Entity type
Organization (NPI-2)
Legal business name
Canterbury House Direct Primary Care
Organization subpart
No
Enumeration date
May 19, 2026
Certification date
May 19, 2026
Last updated
May 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

8500 Station St Ste 270
Mentor, OH 44060-4943

Phone 440-641-4146 · Fax 440-596-4633

Mailing address

8500 Station St Ste 270
Mentor, OH 44060-4943

Phone 440-641-4146 · Fax 440-596-4633

Authorized official

Sarah Watson
Owner
4406414146

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