| NPI | 1790049872 |
|---|---|
| Other Name | KIDZ 1ST PEDIATRICS |
| Other Name | MARKET STREET PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | RONALD DWINNELLS CEO 330-747-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2018-06-16 |