OHIO NORTH EAST HEALTH SYSTEMS INC NPI 1033437702

NPI Information

NPI: 1033437702
Provider Name: OHIO NORTH EAST HEALTH SYSTEMS, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1977 NILES RD SE
WARREN, OH
ZIP 44484
Phone: (330) 393-6446
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OHIO NORTH EAST HEALTH SYSTEMS, INC is a federally qualified health center (fqhc) clinic center in Warren, OH. OHIO NORTH EAST HEALTH SYSTEMS, INC NPI is 1033437702. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1977 NILES RD SE
WARREN, OH
ZIP 44484-118
Phone: (330) 393-6446

The provider's authorized official is Ronald Dwinnells .
The authorized official title is Ceo and has the following contact phone number (330) 747-2330.

The enumeration date for this NPI number is 5/5/2010 and was last updated on 12/14/2017.

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 State	Primary
1	207Q00000X	Family Medicine			No
2	207R00000X	Internal Medicine			No
3	101YM0800X	Counselor	Mental Health		No
4	103G00000X	Clinical Neuropsychologist			No
5	1041C0700X	Social Worker	Clinical		No
6	1223G0001X	Dentist	General Practice		No
7	213E00000X	Podiatrist			No
8	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	OHIO	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	3059434	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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