# OHIO NORTH EAST HEALTH SYSTEMS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Care Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285103135
- **Authorized official:** RONALD DWINNELLS MD (CEO)
- **Authorized official phone:** (330) 747-9551

## Contact information

- **Practice address:** 2642 STATE ROUTE 5, CORTLAND, OH 44410-9393
- **Practice address phone:** (330) 841-5500
- **Practice address fax:** (330) 884-6120
- **Mailing address:** 726 WICK AVE, YOUNGSTOWN, OH 44505-2827
- **Mailing address phone:** (330) 747-9551
- **Mailing address fax:** (330) 884-6120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/21/2018
- **Last updated:** 10/15/2024