NPIMap

Organization Active NPI

Neighborhood Health Association of Toledo, Inc

Doing business as Huron Women's Clinic

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
National Provider Identifier
1801917273
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC
Doing business as
Huron Women's Clinic
Practice address
923 N Huron St
Toledo, OH 43604-1715
Phone
(419) 242-6028
Fax
(419) 242-8114
NPI assigned
Apr 3, 2007
Last updated
Feb 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra D Miller-Corbett
Title
Ceo
Phone
(419) 720-7883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

923 N Huron St
Toledo, OH 43604-1715

Mailing address

313 Jefferson Ave
Toledo, OH 43604-1004
Phone (419) 720-7883

Other identifiers 2

IdentifierTypeStateIssuer
0150654MedicaidOH
01403OtherOHPARAMOUNT

Other names 1

  • Huron Women's Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801917273. Details of each certification follow.

  • CCN 361906 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 361906

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HURON STREET MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 14, 2006
Last certification
Feb 14, 2006
Ownership / control type
For profit – corporation
Facility address
923 North Huron Street
Toledo, OH 43604
Related CCNs
361823

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood Health Association of Toledo Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1801917273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041004",
            "telephone_number": "419-720-7883",
            "fax_number": "419-720-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 N HURON ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041715",
            "telephone_number": "419-242-6028",
            "fax_number": "419-242-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "MILLER-CORBETT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-720-7883"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150654",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "01403",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huron Women's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.