Provider Demographics
NPI:1023989225
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:COO
Authorized Official - Prefix:
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:419-214-5700
Mailing Address - Fax:
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:419-214-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy