Organization
MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC
Active
Parent organization
MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC
Other names
Mercy Health - Salem 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
564 E 2ND ST, SALEM, OH 44460
(234) 567-8150
(234) 567-8189
Mailing address
1701 MERCY HEALTH PL, CINCINNATI, OH 45237-6147
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
06/08/2020
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