Organization
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE F AUSTIN (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(216) 231-7700
Entity
Organization
Contact information
Practice address
13301 MILES AVE, CLEVELAND, OH 44105-5521
(216) 751-3100
(216) 751-2480
Mailing address
8300 HOUGH AVE, CLEVELAND, OH 44103-4247
(213) 231-7700
(216) 231-7920
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0850379
—
OH
Enumeration date
07/07/2006
Last updated
04/10/2008
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