OHIO NORTH EAST HEALTH SYSTEMS, INC (LLOYD MCCOY HEALTH CENTER) - NPI NUMBER 1942504089

Summary

Provider Name: OHIO NORTH EAST HEALTH SYSTEMS, INC (LLOYD MCCOY HEALTH CENTER)

NPI Number: 1942504089

Clasification: Clinic/Center (261Q00000X)

Address:
1977 NILES RD SE
WARREN, OH
ZIP 44484

Phone Number: (330) 393-6446



Detailed Information

OHIO NORTH EAST HEALTH SYSTEMS, INC is a clinic/center in Warren, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). The assigned NPI number for this provider is 1942504089 and is registered as an organization entity type.
The provider Other Name Is Lloyd Mccoy Health Center.

The provider's business 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 1/4/2011 and was last updated on 1/4/2011.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1013106467 WARREN FAMILY MEDICAL, INC.
Clinic/Center (Health Service)
1023380102 OHIO NORTH EAST HEALTH SYSTEMS INC
Clinic/Center (Community Health)
1063753358 CHAMPION DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1033437702 OHIO NORTH EAST HEALTH SYSTEMS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1033358171 FORUM HEALTH SERVICES
Clinic/Center (Urgent Care)
1841569902 DR GINA REGHETTI DO PC INC
Clinic/Center
1104865971 CLEVELAND VAMC
Clinic/Center (VA)

Taxonomy Codes

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 261Q00000X Clinic/Center OH Yes

NPI Record

No. Field Name Field Value
1 NPI 1942504089
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name OHIO NORTH EAST HEALTH SYSTEMS, INC
5 Provider Other Organization Name LLOYD MCCOY HEALTH CENTER
6 Provider Other Organization Name Type Code 5
7 Provider First Line Business Practice Location Address 1977 NILES RD SE
8 Provider Business Practice Location Address City Name WARREN
9 Provider Business Practice Location Address State Name OH
10 Provider Business Practice Location Address Postal Code 444845118
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 3303936446
13 Provider Enumeration Date 1/4/2011
14 Last Update Date 1/4/2011
15 Authorized Official Last Name DWINNELLS
16 Authorized Official First Name RONALD
17 Authorized Official Title or Position CEO
18 Authorized Official Telephone Number 3307472330
19 Healthcare Provider Taxonomy Code 1 261Q00000X
20 Provider License Number State Code 1 OH
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Organization Subpart N
23 Authorized Official Name Prefix Text DR.
24 Authorized Official Credential Text M.D.

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.