| |
420 Oak Hill Avenue, Youngstown, OH 44502-1415 | |
(330) 870-3900 | |
(330) 870-3901 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 420 Oak Hill Avenue, Youngstown, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245612845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 36.002880 (Ohio) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 27940, Columbus, OH 43227-0940 Ph: (614) 239-9444 | 420 Oak Hill Avenue, Youngstown, OH 44502-1415 Ph: (330) 870-3900 |