Southside Community Health Center
LBN: Neighborhood Health Association Of Toledo, Inc.
Southside Community Health Center is an health care organization with primary practice located at 732 South Ave , Toledo OH 43609-2768. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Neighborhood Health Association Of Toledo, Inc. can be contacted via phone (419) 321-6106, or through Stone Kline, Kelly Jo via phone (419) 720-7883.
Contact Information
Primary practice address
732 South Ave
Toledo OH 43609-2768
Phone: (419) 321-6106
Fax: (419) 321-1525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1861513343 |
|---|---|
| LBN Legal business name | Neighborhood Health Association Of Toledo, Inc. |
| DBA Doing business as | Southside Community Health Center |
| Authorized official | Stone Kline, Kelly Jo |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 1st, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861513343 | NPPES |
| Ohio | MEDICAID | 0829358 | |
| Ohio | Other | 02138 |
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