MEDICARE: NEIGHBORHOOD HEALTH CARE INCORPORATED

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1265702351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD HEALTH CARE INCORPORATED

Provider Business Mailing Address
First Line	:	3569 RIDGE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-5443
Country	:	US
Telephone Number	:	216-281-0872
Fax Number	:	216-281-9565

Provider Business Practice Location Address
First Line	:	6412 FRANKLIN BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-3153
Country	:	US
Telephone Number	:	216-961-2090
Fax Number	:	216-961-9580

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	CHRISTINE PORTER
Credential	:	MBA
Telephone Number	:	216-281-0872

Provider Enumeration Date	:	01/05/2012
Last Update Date	:	11/07/2024

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Directions to “NEIGHBORHOOD HEALTH CARE INCORPORATED ” Practice Location

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