| Northeast Ohio Neighborhood Health Services, Inc. | |
|
1468 E 55th St Cleveland OH 44103-1307 | |
| (216) 881-2000 | |
| (216) 812-8124 |
| Full Name | Northeast Ohio Neighborhood Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1468 E 55th St, Cleveland, Ohio |
| Authorized Official Name and Position | Willie F. Austin (PRESIDENT & CEO) |
| 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. 1468 E 55th St Cleveland OH 44103-1307 Ph: (216) 881-2000 | Northeast Ohio Neighborhood Health Services, Inc. 1468 E 55th St Cleveland OH 44103-1307 Ph: (216) 881-2000 |
| NPI Number | 1376650952 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 11/11/2018 |
| Medicare PECOS PAC ID | 5799756615 |
|---|---|
| Medicare Enrollment ID | O20190103000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376650952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Brenda Joyce Perryman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467566695 PECOS PAC ID: 5193791630 Enrollment ID: I20040907000995 |
| Provider Name | Suzanne White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093951006 PECOS PAC ID: 7719042746 Enrollment ID: I20090207000022 |
| Provider Name | Beverly Foster |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1639261340 PECOS PAC ID: 8426357054 Enrollment ID: I20181109000482 |
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