| Northeast Ohio Neighborhood Health Services, Inc. | |
|
15201 Euclid Ave East Cleveland OH 44112-2803 | |
| (216) 541-5600 | |
| (216) 541-5658 |
| Full Name | Northeast Ohio Neighborhood Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 15201 Euclid Ave, East 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: (216) 231-7700 | Northeast Ohio Neighborhood Health Services, Inc. 15201 Euclid Ave East Cleveland OH 44112-2803 Ph: (216) 541-5600 |
| NPI Number | 1033142989 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 04/10/2008 |
| Medicare PECOS PAC ID | 5799756615 |
|---|---|
| Medicare Enrollment ID | O20110303000951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033142989 | NPI | - | NPPES |
| 0159993 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Ohio) | Primary |
Caridad C. Agdinaoay, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13916 Euclid Ave, First Floor, East Cleveland, OH 44112 Phone: 216-541-3333 | |
Northeast Ohio Neighborhood Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15201 Euclid Ave, East Cleveland, OH 44112 Phone: 216-541-5600 Fax: 216-541-5658 |