| Mahoning County Health Department | |
|
50 Westchester Dr Youngstown OH 44515-3991 | |
| (330) 270-2855 | |
| (330) 270-9194 |
| Full Name | Mahoning County Health Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 50 Westchester Dr, Youngstown, Ohio |
| Authorized Official Name and Position | Edward Janik (DIRECTOR OF FINANCE/HR) |
| Authorized Official Contact | 3302702855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahoning County Health Department 50 Westchester Dr Youngstown OH 44515-3991 Ph: (330) 270-2855 | Mahoning County Health Department 50 Westchester Dr Youngstown OH 44515-3991 Ph: (330) 270-2855 |
| NPI Number | 1235194937 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 11/02/2011 |
| Medicare PECOS PAC ID | 5395902472 |
|---|---|
| Medicare Enrollment ID | O20120201000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235194937 | NPI | - | NPPES |
| 600000894 | Other | RAILROAD MEDICARE | |
| 0980167 | Medicaid | OH | |
| 0347039 | Other | OH | BCMH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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