NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES INC. NPI 1659407682

NPI Information

NPI: 1659407682
Provider Name: NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.

Other Name: SUPERIOR HEALTH CENTER PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
12100 SUPERIOR AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 851-2600
Get Directions

NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. is a clinic pharmacy pharmacy in Cleveland, OH. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. NPI is 1659407682. The provider is registered as an organization entity type.
The provider Other Name Is Superior Health Center Pharmacy.

The provider's business location address is:

12100 SUPERIOR AVE
CLEVELAND, OH
ZIP 44106-444
Phone: (216) 851-2600

The provider's authorized official is Willie F. Austin .
The authorized official title is President & Ceo and has the following contact phone number (216) 231-7700.

The CLIA number assigned to this NPI record is 36D0335908 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/26/2007 and was last updated on 5/29/2008.

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
1	3336C0002X	Pharmacy	Clinic Pharmacy	3653210	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	0154863	MEDICAID	OHIO
2	=========-06	OTHER	OHIO	BWC PHARMACY
3	NO3618361	MEDICARE ID-TYPE UNSPECIFIED	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: 4/28/2024

NPI Synchronization or Removal

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