Organization
WESTERN RESERVE CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOWELL W JOHNSON FACHE (INTERIM EXECUTIVE VP AND COO)
(330) 884-5858
Entity
Organization
Contact information
Practice address
3622 BELMONT AVE, SUITE 21, YOUNGSTOWN, OH 44505-1450
(330) 759-3485
(330) 759-3256
Mailing address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(330) 884-5858
(330) 884-5735
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9736361
—
OH
Enumeration date
03/14/2007
Last updated
08/22/2020
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