OHIO NORTH EAST HEALTH SYSTEMS INC NPI 1023380102

NPI Information

NPI: 1023380102
Provider Name: OHIO NORTH EAST HEALTH SYSTEMS INC

Other Name: ACT CENTER FOR RECOVERY

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1032 E MARKET ST
WARREN, OH
ZIP 44483
Phone: (330) 747-9551
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OHIO NORTH EAST HEALTH SYSTEMS INC is a community health clinic center in Warren, OH. OHIO NORTH EAST HEALTH SYSTEMS INC NPI is 1023380102. The provider is registered as an organization entity type.
The provider Other Name Is Act Center For Recovery.

The provider's business location address is:

1032 E MARKET ST
WARREN, OH
ZIP 44483-602
Phone: (330) 747-9551
Fax: (330) 884-6120

The provider's authorized official is Ronald Dwinnells .
The authorized official title is Ceo and has the following contact phone number (330) 747-9551.

The CLIA number assigned to this NPI record is 36D2126907 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2012 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0061741	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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