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NPI Code Detail

MEDICARE: NEIGHBORHOOD HEALTH CARE INCORPORATED

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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1306268677
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEIGHBORHOOD HEALTH CARE INCORPORATED
Provider Business Mailing Address
First Line : PO BOX 72674
Second Line :
City : CLEVELAND
State : OH
Zip : 44192-0002
Country : US
Telephone Number : 216-281-0872
Fax Number : 216-281-9721
Provider Business Practice Location Address
First Line : 14625 PURITAS AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44135-2815
Country : US
Telephone Number : 216-281-0872
Fax Number : 216-281-9721
Authorized Official
Title or Position : CEO
Name : DOMONIC M HOPSON
Credential :
Telephone Number : 216-302-5252
Provider Enumeration Date : 01/06/2014
Last Update Date : 09/24/2025

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Directions to “NEIGHBORHOOD HEALTH CARE INCORPORATED ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.