Provider Demographics
NPI:1023670023
Name:NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.
Entity type:Organization
Organization Name:NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RCM
Authorized Official - Prefix:
Authorized Official - First Name:KELLY JO
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE KLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-720-7883
Mailing Address - Street 1:313 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1004
Mailing Address - Country:US
Mailing Address - Phone:419-720-7883
Mailing Address - Fax:419-720-7895
Practice Address - Street 1:544 E WOODRUFF AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-5342
Practice Address - Country:US
Practice Address - Phone:419-720-7883
Practice Address - Fax:419-720-7895
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical