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NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES INC. NPI 1932235983


NPI Information

NPI: 1932235983
Provider Name: NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.

Other Name: COLLINWOOD HEALTH CENTER PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 36D0336291

Address:
15322 SAINT CLAIR AVE
CLEVELAND, OH
ZIP 44110
Phone: (216) 851-1500
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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 1932235983. The provider is registered as an organization entity type.
The provider Other Name Is Collinwood Health Center Pharmacy.

The provider's business location address is:

15322 SAINT CLAIR AVE
CLEVELAND, OH
ZIP 44110-043
Phone: (216) 851-1500

The provider's authorized official is Willie F. Ausin .
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 36D0336291 - 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic Pharmacy020438450OHIOYes

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
1=========-10OTHEROHIOBWC PHARMACY
2NO3618341MEDICARE ID-TYPE UNSPECIFIED
30154907MEDICAIDOHIO

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

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.