Organization Name: | NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. |
NPI Number: | 1033142989 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIE F. AUSTIN (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 15201 Euclid Ave East Cleveland |
State: | OH US |
Postal Code: | 441122803 |
Phone Number: | 2165415600 |
Fax Number: | 2165415658 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 04/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |