OHIO NORTH EAST HEALTH SYSTEMS INC NPI 1306835210

NPI Information

  • NPI: 1306835210
  • Provider Name: OHIO NORTH EAST HEALTH SYSTEMS INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: YOUNGSTOWN COMMUNITY HEALTH CENTER
  • CLIA Number: 36D0341951
  • Address: 726 WICK AVE
    YOUNGSTOWN, OH
    ZIP 44505
  • Phone: (330) 747-9551

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NPI Details

OHIO NORTH EAST HEALTH SYSTEMS INC is a federally qualified health center (fqhc) clinic center in Youngstown, OH. OHIO NORTH EAST HEALTH SYSTEMS INC NPI is 1306835210. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Youngstown Community Health Center.

The provider's business location address is:

726 WICK AVE
YOUNGSTOWN, OH
ZIP 44505-827
Phone: (330) 747-9551
Fax: (330) 747-9552

The provider's authorized official is Ronald Dwinwells .
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 36D0341951 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/14/2005 and was last updated on 10/15/2024.

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
1101Y00000XCounselorNo
2103G00000XClinical NeuropsychologistNo
31041C0700XSocial WorkerClinicalNo
4122300000XDentistNo
5207Q00000XFamily MedicineNo
6207V00000XObstetrics & GynecologyNo
7213E00000XPodiatristNo
8261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes
9261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
10261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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
10836699MEDICAIDOHIO

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: 11/21/2025

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