OHIO NORTH EAST HEALTH SYSTEMS INC NPI 1962491738

NPI Information

OHIO NORTH EAST HEALTH SYSTEMS INC is a federally qualified health center (fqhc) clinic center in Alliance, OH. OHIO NORTH EAST HEALTH SYSTEMS INC NPI is 1962491738. The provider is registered as an organization entity type and is a multi-specialty group.
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 CLIA number assigned to this NPI record is 36D1090276 - federally qualified health center 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 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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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