Organization
OHIO NORTH EAST HEALTH SYSTEMS, INC
Active
Organization
OHIO NORTH EAST HEALTH SYSTEMS, INC
Active
Other names
Premier Care Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD DWINNELLS MD (CEO)
(330) 747-9551
Entity
Organization
Contact information
Practice address
2642 STATE ROUTE 5, CORTLAND, OH 44410-9393
(330) 841-5500
(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
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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