MEDICARE: NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	01403	OTHER	OH	PARAMOUNT

General Provider Information

NPI Number	:	1427170679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO INC.

Provider Business Mailing Address
First Line	:	313 JEFFERSON AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-1004
Country	:	US
Telephone Number	:	419-720-7883
Fax Number	:	419-720-7896

Provider Business Practice Location Address
First Line	:	1 AURORA L GONZALEZ DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-2783
Country	:	US
Telephone Number	:	419-241-4230
Fax Number	:	419-241-4231

Authorized Official
Title or Position	:	CEO
Name	:	SANDRA D MILLER-CORBETT
Credential	:
Telephone Number	:	419-720-7883

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	02/21/2024

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