Organization
MERCY HEALTH YOUNGSTOWN LLC
Active
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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