Ohio North East Health Systems, Inc.
Organization Active NPI Community Health Clinic/Center · Youngstown, OH
NPI 1700917267 · NPPES record last updated Dec 14, 2017
Key facts
- NPI
- 1700917267
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- Legal business name
- OHIO NORTH EAST HEALTH SYSTEMS, INC.
- Practice address
- 726 Wick Ave
Youngstown, OH 44505-2827 - Phone
- (330) 747-9551
- Fax
- (330) 884-6120
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Ronald Dwinnells, MD
- Title
- Ceo
- Phone
- (330) 747-9551
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 8
Practitioners 74
-
Aron Blecher, M.D.
-
Elizabeth J Camera, LPCC
-
Rose Alexandria Cox, PA-C
-
Bryan Jeffrey Eshelman, LPCC
-
John Michael Jerome, CNP
-
Maria D Kowal, M.D.
-
Aimee Lynn Lynch, RD LD
-
Michael Joseph Maggio Jr., MSN, PMHNP-BC
-
Amanda Sue McCormick, CNP
-
Grace McCracken, PA-C
-
Catherine Migliozzi, FNP-C
-
Kelli A Motherwell, AGPCNP-C
-
Amity Lynn Patrone, MSN, APRN, PMHNP-BC
-
Joseph Petrolla, PA-C
-
Justin Daniel Pykare, FNP-BC
-
David J Sansoterra, M.D.
-
Vhari Francesca Scotland-Bernard, APRN.CNP.0029557
-
Brian Alexander Soto, CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131028001143 | OH | Part B Supplier - Clinic/Group Practice | 1951395086 |
Receives reassigned benefits from 74 practitioners 2 other NPIs on this enrollment Practice locations: Warren, OH; Youngstown, OH; Newton Falls, OH; Cortland, OH; Alliance, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Neuropsychologist |
103G00000X | |||
| Clinical Social Worker |
1041C0700X | |||
| General Practice Dentistry |
1223G0001X | |||
| Family Medicine Physician |
207Q00000X | |||
| Adolescent Medicine (Family Medicine) Physician |
207QA0000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X | |||
| Public Health & General Preventive Medicine Physician |
2083P0901X | |||
| General Practice Physician |
208D00000X | |||
| Podiatrist |
213E00000X | |||
| Community Health Clinic/Center | 261QC1500X | Yes |
Addresses
Primary practice location
726 Wick Ave
Youngstown, OH 44505-2827
Mailing address
726 Wick Ave
Youngstown, OH 44505-2827
Phone (330) 747-9551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0684326 | Medicaid | OH | |
| 0836699 | Medicaid | OH | |
| 1306835210 | Other | OH | FQHC NPI NUMBER |
Other names
- Youngstown Community Health Center
Other providers in Youngstown, OH
- Ohio North East Health Systems Inc
- Ohio North East Health Systems Inc
- Ohio North East Health Systems, Inc.
- Ohio North East Health Systems, Inc.
- Ohio North East Health Systems, Inc.
- Ohio Podiatric Physicians and Surgeons Group, LLC
- Ohio Podiatric Physicians and Surgeons Group, LLC
- Ohio Podiatric Physicians and Surgeons Group, LLC
- Ohio Podiatric Physicians and Surgeons Group, LLC
- Ohio Podiatric Physicians and Surgeons Group, LLC
All providers in Youngstown, OH · Community Health Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.