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MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC NPI 1063174308


NPI Information

NPI: 1063174308
Provider Name: MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

CLIA Number: 36D0688051

Address:
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH
ZIP 44408
Phone: (330) 482-9350
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MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC is a customized equipment durable medical equipment medical supplies in Columbiana, OH. MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC NPI is 1063174308. The provider is registered as an organization entity type.

The provider's business location address is:

107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH
ZIP 44408-493
Phone: (330) 482-9350

The provider's authorized official is Wilbur Gay .
The authorized official title is Cfo and has the following contact phone number (888) 696-3541.

The CLIA number assigned to this NPI record is 36D0688051 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2021 and was last updated on 10/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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