| Northeast Ohio Neighborhood Health Services, Inc. | |
|
12100 Superior Ave Cleveland OH 44106-1444 | |
| (216) 851-2600 | |
| (216) 851-4125 |
| Full Name | Northeast Ohio Neighborhood Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12100 Superior Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Wilie F. Austin (PRESIDENT & CEO) |
| Authorized Official Contact | 2162317700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Ohio Neighborhood Health Services, Inc. 12100 Superior Ave Cleveland OH 44106-1444 Ph: (216) 851-2600 | Northeast Ohio Neighborhood Health Services, Inc. 12100 Superior Ave Cleveland OH 44106-1444 Ph: (216) 851-2600 |
| NPI Number | 1508877739 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508877739 | NPI | - | NPPES |
| 0581062 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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