| Youngstown Community Health Center | |
|
726 Wick Ave Youngstown OH 44505-2827 | |
| (330) 747-9551 | |
| (330) 747-9552 |
| Full Name | Youngstown Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 726 Wick Ave, Youngstown, Ohio |
| Authorized Official Name and Position | Ronald Dwinwells (CEO) |
| Authorized Official Contact | 3307479551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Youngstown Community Health Center 726 Wick Ave Youngstown OH 44505-2827 Ph: (330) 747-9551 | Youngstown Community Health Center 726 Wick Ave Youngstown OH 44505-2827 Ph: (330) 747-9551 |
| NPI Number | 1306835210 |
|---|---|
| Provider Enumeration Date | 10/14/2005 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 1951395086 |
|---|---|
| Medicare Enrollment ID | O20110314000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306835210 | NPI | - | NPPES |
| 0836699 | Medicaid | OH |
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