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Organization

MERCY HEALTH YOUNGSTOWN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHAD SCOTT (PRACTICE MANAGER/AMBULATORY CARE)
(330) 480-2333
Entity
Organization

Contact information

Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-2616
(330) 480-7979
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
NP006248
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184445690001
MEDICAL MUTUAL
OH
01
3416424028A22
ANTHEM BLUE CROSS BLUE SH
OH
Enumeration date
07/20/2006
Last updated
01/26/2022
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