| Northeast Ohio Neighborhood Health Services, Inc. | |
|
13301 Miles Ave Cleveland OH 44105-5521 | |
| (216) 751-3100 | |
| (216) 751-2480 |
| Full Name | Northeast Ohio Neighborhood Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 13301 Miles Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Willie F Austin (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2162317700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Ohio Neighborhood Health Services, Inc. 8300 Hough Ave Cleveland OH 44103-4247 Ph: (213) 231-7700 | Northeast Ohio Neighborhood Health Services, Inc. 13301 Miles Ave Cleveland OH 44105-5521 Ph: (216) 751-3100 |
| NPI Number | 1013940949 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 04/10/2008 |
| Medicare PECOS PAC ID | 5799756615 |
|---|---|
| Medicare Enrollment ID | O20110303000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013940949 | NPI | - | NPPES |
| 0850379 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Ohio) | Primary |
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