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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