| Good Shepherd Community Doctors Office | |
|
30 W Front St Youngstown OH 44503-1417 | |
| (330) 782-2800 | |
| (330) 746-2855 |
| Full Name | Good Shepherd Community Doctors Office |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 30 W Front St, Youngstown, Ohio |
| Authorized Official Name and Position | Yvette Etna Thornton (CEO) |
| Authorized Official Contact | 3307822800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Community Doctors Office 30 W Front St Youngstown OH 44503-1417 Ph: (330) 782-2800 | Good Shepherd Community Doctors Office 30 W Front St Youngstown OH 44503-1417 Ph: (330) 782-2800 |
| NPI Number | 1912138157 |
|---|---|
| Provider Enumeration Date | 08/05/2009 |
| Last Update Date | 08/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912138157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | RN245640 (Ohio) | Secondary |
| 261QH0100X | Clinic/center - Health Service | RN245640 (Ohio) | Primary |
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