Organization
OHIO NORTH EAST HEALTH SYSTEMS INC
Active
Organization
OHIO NORTH EAST HEALTH SYSTEMS INC
Active
Other names
Kidz 1st Pediatrics, Market Street Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
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
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068428
—
OH
Enumeration date
07/03/2012
Last updated
06/16/2018
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