Healthcare Provider Details

I. General information

NPI: 1326979576
Provider Name (Legal Business Name): SPRINGVALE HEALTH CENTERS,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 HOSPITAL DR
DOVER OH
44622-2058
US

IV. Provider business mailing address

201 HOSPITAL DR
DOVER OH
44622-2058
US

V. Phone/Fax

Practice location:
  • Phone: 330-343-6631
  • Fax: 330-343-3150
Mailing address:
  • Phone: 330-343-6631
  • Fax: 330-343-3150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH J BOROSKI
Title or Position: EXECUTIVE DIRECTOR
Credential: LPCC
Phone: 330-343-6631