Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boardman Medical Supply Co

Organization Urgent Care Clinic/Center · NPI 1164582748

Boardman Medical Supply Co is an Urgent Care Clinic/Center in Canton, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1204 30th St NW
Canton, OH 44709-2923
Phone: (330) 492-4300
Fax: (330) 492-7886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X (OH)
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1164582748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Ivany — Vice President/Gm · (330) 545-6700
NPI enumeratedDecember 12, 2006
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020
Mailing address300 N State St, Girard, OH 44420-2538

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