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OHIO NORTH EAST HEALTH SYSTEMS INC. NPI 1225169634


NPI Information

NPI: 1225169634
Provider Name: OHIO NORTH EAST HEALTH SYSTEMS, INC.

Other Name: GOOD SAMARITAN COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1390 S ARCH AVE
ALLIANCE, OH
ZIP 44601
Phone: (330) 821-3961
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OHIO NORTH EAST HEALTH SYSTEMS, INC. is a primary care clinic center in Alliance, OH. OHIO NORTH EAST HEALTH SYSTEMS, INC. NPI is 1225169634. The provider is registered as an organization entity type.
The provider Other Name Is Good Samaritan Community Health Center.

The provider's business location address is:

1390 S ARCH AVE
ALLIANCE, OH
ZIP 44601-111
Phone: (330) 821-3961
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 enumeration date for this NPI number is 3/8/2007 and was last updated on 3/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12656737MEDICAIDOHIO

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: 4/28/2024

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