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NPI Code Detail

MEDICARE: OHIO NORTH EAST HEALTH SYSTEMS, INC

MEDICARE: OHIO NORTH EAST HEALTH SYSTEMS, 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
1101YM0800XMental Health Counselor
2103G00000XClinical Neuropsychologist
31223G0001XGeneral Practice Dentistry
41041C0700XClinical Social Worker
5207Q00000XFamily Medicine Physician
6207R00000XInternal Medicine Physician
7213E00000XPodiatrist
8261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
9261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
10261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316935265
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHIO NORTH EAST HEALTH SYSTEMS, INC
Provider Business Mailing Address
First Line : 716 TOD AVE SW
Second Line :
City : WARREN
State : OH
Zip : 44485-3608
Country : US
Telephone Number : 330-373-0222
Fax Number : 330-393-3764
Provider Business Practice Location Address
First Line : 716 TOD AVE SW
Second Line :
City : WARREN
State : OH
Zip : 44485-3608
Country : US
Telephone Number : 330-373-0222
Fax Number : 330-393-3764
Authorized Official
Title or Position : CEO
Name : MR. RONALD DWINWELLS
Credential : MD
Telephone Number : 330-747-9551
Provider Enumeration Date : 10/13/2005
Last Update Date : 10/15/2024

Similar Medicare Providers

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Practice Location Address:
716 TOD AVE SW
WARREN, OH
44485-3608
Practice Phone: 330-373-0222
Practice Fax: 330-884-6120
1336249895 — DR. MATTHEW JOHN SKURICH DDS
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716 TOD AVE SW
WARREN, OH
44485-3608
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1417088980 — OHIO NORTH EAST HEALTH SYSTEMS, INC.
Practice Location Address:
716 TOD AVE SW
WARREN, OH
44485-3608
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1740567064 — DR. NAQUIDA LEISHA TAYLOR D.D.S
Practice Location Address:
716 TOD AVE SW
WARREN, OH
44485-3608
Practice Phone: 330-747-9551
Practice Fax:
1730598962 — AMY MYERS BC-APRN, FNP
Practice Location Address:
716 TOD AVE SW
WARREN, OH
44485-3608
Practice Phone: 330-373-0222
Practice Fax:
1255917589 — MS. BRIANNA MARIN
Practice Location Address:
716 TOD AVE SW
WARREN, OH
44485-3608
Practice Phone: 330-373-0222
Practice Fax:

Directions to “OHIO NORTH EAST HEALTH SYSTEMS, INC ” Practice Location

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