OHIO NORTH EAST HEALTH SYSTEMS INC (NPI# 1306835210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306835210 |
| Entity Type | Organization |
| Organization Name | OHIO NORTH EAST HEALTH SYSTEMS INC |
| Other Organization Name | YOUNGSTOWN COMMUNITY HEALTH CENTER |
| Practice Address |
726 Wick Ave Youngstown OH 44505-2827 |
| Practice Telephone | 3307479551 |
| Practice Fax Number | 3307479552 |
| Mailing Telephone | 3307479551 |
| Mailing Fax Number | 3307479552 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | MR. RONALD DWINWELLS (CEO) |
| Authorized Official Telephone | 3307479551 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0836699 | 05 |
| Other Name | Type Code |
|---|---|
| Youngstown Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962491738 | Ohio North East Health Systems Inc | Counselor | 1390 S Arch Ave, Alliance, OH 44601-4111 | 2005-10-14 |
| 1730640046 | Ohio North East Health Systems Inc | Dentist | 500 Gypsy Lane, Medical Office Bldg A, Youngstown, OH 44504-1315 | 2019-03-28 |
| 1699236059 | Ohio North East Health Systems Inc | Dentist | 500 Gypsy Lane, Medical Office Bldg A, Youngstown, OH 44504-1315 | 2019-03-28 |
| 1265780746 | Ohio North East Health Systems Inc | Counselor | 1821 E Market St, Warren, OH 44483-6627 | 2012-08-15 |
| 1790049872 | Ohio North East Health Systems Inc | Counselor | 1821 E Market St, Warren, OH 44483-6627 | 2012-07-03 |
| 1285907501 | Ohio North East Health Systems Inc | Counselor | 1032 E Market St, Warren, OH 44483-6602 | 2012-02-16 |
| 1811269681 | Ohio North East Health Systems Inc | Pediatrics | 1032 E Market St, Warren, OH 44483-6602 | 2012-02-08 |
| 1023380102 | Ohio North East Health Systems Inc | Clinic/Center | 1032 E Market St, Warren, OH 44483-6602 | 2012-02-03 |
| Street Address |
726 WICK AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44505-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871595603 | Theodore R Cubbison | Neuromusculoskeletal Medicine & OMM | 726 Wick Ave, Youngstown, OH 44505-2827 | 2005-08-11 |
| 1538721816 | John Michael Jerome | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2019-07-08 |
| 1194384552 | Gabrielle M Monk | Dietitian, Registered | 726 Wick Ave, Youngstown, OH 44505-2827 | 2019-06-10 |
| 1245797737 | Jacquelyn K Oddo | Dietitian, Registered | 726 Wick Ave, Youngstown, OH 44505-2827 | 2019-02-21 |
| 1992284731 | Somer Wallace | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2018-08-13 |
| 1447705058 | Amber Walden | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2016-08-24 |
| 1659741577 | Patrick M. Frost | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2015-10-05 |
| 1801272265 | Justin Daniel Pykare | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2015-08-07 |
| 1063801249 | Andrea Longo | Counselor | 726 Wick Ave, Youngstown, OH 44505-2827 | 2015-01-12 |
| 1215379896 | Stephanie Lynn Huston | Registered Nurse | 726 Wick Ave, Youngstown, OH 44505-2827 | 2013-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924365 | Kristina Terlecki | Massage Therapist | 32 Goldie Rd., Youngstown, OH 44505 | 2019-04-17 |
| 1669937108 | Melissa Ann Brian | Registered Nurse | 615 Churchill - Hubbard Rd., Youngstown, OH 44505 | 2019-02-08 |
| 1902376742 | Shamara Golden | Specialist/Technologist | 3415 5th Ave, Youngstown, OH 44505 | 2018-12-04 |
| 1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
| 1104333798 | Sherrell Lynn Moorer | Case Manager/Care Coordinator | 3164 Eastview Drive, Youngstown, OH 44505 | 2018-01-04 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1871721530 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 200 Goldie Road, Youngstown, OH 44505 | 2009-07-01 |
| 1538254149 | Robert F. Accordino | Physical Therapist | 4531 Belmont Ave., Suite 5, Youngstown, OH 44505 | 2006-10-03 |
| 1659465862 | Union Eyes Optical, Inc | Technician/Technologist | 229 Churchill-hubbard Rd, Youngstown, OH 44505 | 2006-10-03 |
| 1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
| Find all providers in zip 44505 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1376177303 | Erie County Office of Auditor | Clinic/Center | 1925 Hayes Ave Ste B, Sandusky, OH 44870-4737 | 2020-02-28 |
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| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44505 |
Please comment or provide details below to improve the information on OHIO NORTH EAST HEALTH SYSTEMS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.