Organization
OHIO NORTH EAST HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD DWINNELLS (CEO)
(330) 747-9551
Entity
Organization
Contact information
Practice address
175 E BROAD ST, NEWTON FALLS, OH 44444-1708
(330) 747-9551
(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
101YM0800X
Mental Health Counselor
—
—
122300000X
Dentist
—
—
124Q00000X
Dental Hygienist
—
—
207Q00000X
Family Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
—
213E00000X
Podiatrist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166559
—
OH
Enumeration date
08/27/2015
Last updated
12/14/2017
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