Organization
MERCY HEALTH YOUNGSTOWN LLC
Active
Other names
St Joseph Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW A. LOVE (CFO)
(330) 884-7055
Entity
Organization
Contact information
Practice address
667 EASTLAND AVENUE SE, WARREN, OH 44484-4503
(330) 841-4000
(330) 884-7091
Mailing address
1044 BELMONT AVENUE, YOUNGSTOWN, OH 44504-1006
(330) 884-7063
(330) 884-7091
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155282
ANTHEM
OH
05
—
0265547
—
OH
01
—
3500219
UNITED HEALTH CARE
OH
01
—
3600341782
CLIA - CMS
—
Enumeration date
11/20/2006
Last updated
01/26/2022
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