NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC. (NPI# 1306225610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306225610 |
Entity Type | Organization |
Organization Name | NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC. |
Other Organization Name | HOLLAND HEALTH CARE |
Practice Address |
9842 Oak Place Ct Apt D Holland OH 43528-9754 |
Mailing Address |
313 Jefferson Ave Toledo OH 43604-1004 |
Practice Telephone | 4197207883 |
Practice Fax Number | 4197207895 |
Mailing Telephone | 4197207883 |
Mailing Fax Number | 4197207895 |
Enumeration Date | 2015-05-20 |
Last Update Date | 2016-02-08 |
Authorized Official Name | SANDRA D MILLER-CORBETT (CEO) |
Authorized Official Telephone | 4197207883 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0132962 | 05 |
Other Name | Type Code |
---|---|
Holland Health Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861857732 | Neighborhood Health Association of Toledo, Inc. | Clinic/Center | 1415 Jefferson Ave, Toledo, OH 43604-5827 | 2015-12-21 |
1861054447 | Neighborhood Health Association of Toledo, Inc. | Clinic/Center | 1425 Starr Ave, Toledo, OH 43605-2456 | 2019-07-03 |
1023670023 | Neighborhood Health Association of Toledo, Inc. | Clinic/Center | 544 E Woodruff Ave, Toledo, OH 43604-5342 | 2019-07-01 |
1023462454 | Neighborhood Health Association of Toledo, Inc. | Clinic/Center | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2016-04-22 |
1518089762 | Neighborhood Health Association of Toledo, Inc. | Clinic/Center | 430 Nebraska Ave, Toledo, OH 43604-8540 | 2007-04-06 |
1861513343 | Neighborhood Health Association of Toledo, Inc. | Clinic/Center | 732 South Ave, Toledo, OH 43609-2768 | 2007-04-03 |
Street Address |
9842 OAK PLACE CT APT D |
City | HOLLAND |
State | OH |
Zip Code | 43528-9754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
Find all providers in zip 43528 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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---|---|---|---|---|
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1972636165 | Intercare Community Health Network | Clinic/Center | 285 James Street, Holland, MI 49424 | 2007-03-14 |
1932119153 | Intercare Community Health Network | Clinic/Center | 285 James St, Holland, MI 49424 | 2006-08-09 |
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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.