Provider Demographics
NPI:1437539517
Name:NEIGHBORHOOD HEALTH CARE INCORPORATED
Entity Type:Organization
Organization Name:NEIGHBORHOOD HEALTH CARE INCORPORATED
Other - Org Name:NEIGHBORHOOD FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:216-281-8945
Mailing Address - Street 1:3569 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-5443
Mailing Address - Country:US
Mailing Address - Phone:216-281-8945
Mailing Address - Fax:216-961-5429
Practice Address - Street 1:11709 LORAIN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5443
Practice Address - Country:US
Practice Address - Phone:216-281-8945
Practice Address - Fax:216-961-5429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)