Provider Demographics
NPI:1578364246
Name:NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.
Entity type:Organization
Organization Name:NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:T
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-720-7883
Mailing Address - Street 1:12 N SAINT CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1028
Mailing Address - Country:US
Mailing Address - Phone:419-214-5740
Mailing Address - Fax:419-242-0421
Practice Address - Street 1:12 N SAINT CLAIR ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-1028
Practice Address - Country:US
Practice Address - Phone:419-214-5740
Practice Address - Fax:419-242-0421
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-20
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy