OHIO NORTH EAST HEALTH SYSTEMS INC NPI 1477920205

NPI Information

NPI: 1477920205
Provider Name: OHIO NORTH EAST HEALTH SYSTEMS, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
175 E BROAD ST
NEWTON FALLS, OH
ZIP 44444
Phone: (330) 747-9551
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OHIO NORTH EAST HEALTH SYSTEMS, INC is a federally qualified health center (fqhc) clinic center in Newton Falls, OH. OHIO NORTH EAST HEALTH SYSTEMS, INC NPI is 1477920205. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

175 E BROAD ST
NEWTON FALLS, OH
ZIP 44444-708
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 enumeration date for this NPI number is 8/27/2015 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	Primary
1	124Q00000X	Dental Hygienist		No
2	101YM0800X	Counselor	Mental Health	No
3	207Q00000X	Family Medicine		No
4	122300000X	Dentist		No
5	207VG0400X	Obstetrics & Gynecology	Gynecology	No
6	213E00000X	Podiatrist		No
7	363L00000X	Nurse Practitioner		No
8	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	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	0166559	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: 5/5/2024

NPI Synchronization or Removal

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