Organization
OHIO NORTH EAST HEALTH SYSTEMS INC
Active
Organization
OHIO NORTH EAST HEALTH SYSTEMS INC
Active
Other names
Kidz 1st Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DWINNELLS MD (CEO)
(330) 747-9551
Entity
Organization
Contact information
Practice address
1821 E MARKET ST, WARREN, OH 44483-6627
(330) 392-7000
(330) 884-6120
Mailing address
726 WICK AVE, YOUNGSTOWN, OH 44505-2827
(330) 747-9551
(330) 884-6120
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072103
—
OH
Enumeration date
08/15/2012
Last updated
10/15/2024
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