Organization
OHIO NORTH EAST HEALTH SYSTEMS, INC.
Active
Other names
Youngstown Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD DWINNELLS MD (CEO)
(330) 747-9551
Entity
Organization
Contact information
Practice address
726 WICK AVE, YOUNGSTOWN, OH 44505-2827
(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
—
—
103G00000X
Clinical Neuropsychologist
—
—
1041C0700X
Clinical Social Worker
—
—
1223G0001X
General Practice Dentistry
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0684326
—
OH
05
—
0836699
—
OH
01
—
1306835210
FQHC NPI NUMBER
OH
Enumeration date
03/08/2007
Last updated
12/14/2017
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