Organization
MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC
Active
Parent organization
MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC
Other names
Mercy Health - Columbiana Podiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC
Authorized official
DONALD E. KLINE (REGION CEO)
(330) 884-7010
Entity
Organization
Contact information
Practice address
107 ROYAL BIRKDALE DR STE A, COLUMBIANA, OH 44408
(330) 482-9350
(330) 482-2336
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 884-7010
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3136878
—
OH
Enumeration date
08/01/2018
Last updated
03/25/2019
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