{"npi":"1346272267","type":"NPI-2","status":"active","name":{"display":"Northeast Ohio Neighborhood Health Services, Inc.","other":[],"organization_name":"NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.","authorised_official":"Willie Austin"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"15322 SAINT CLAIR AVE","city":"CLEVELAND","state":"OH","postal_code":"441103043","country_code":"US","phone":"2168511500","fax":"2168510602"},{"purpose":"MAILING","street_1":"8300 HOUGH AVE","city":"CLEVELAND","state":"OH","postal_code":"441034247","country_code":"US","phone":"2162317700","fax":"2162317920"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0850360","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110303000964","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"OH","pac_id":"5799756615"}]},"enumeration_date":"2006-07-07","last_updated":"2008-04-10","_meta":{"source":"NPPES","snapshot_date":"2008-04-10","doc_url":"https://findmynpi.com/api"}}