Provider Demographics
NPI:1467483701
Name:MERCY HEALTH YOUNGSTOWN LLC
Entity Type:Organization
Organization Name:MERCY HEALTH YOUNGSTOWN LLC
Other - Org Name:MERCY HEALTH ST ELIZABETH YOUNGSTOWN HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO YOUNGSTOWN
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMINARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-480-6063
Mailing Address - Street 1:PO BOX 636469
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6469
Mailing Address - Country:US
Mailing Address - Phone:330-746-7211
Mailing Address - Fax:
Practice Address - Street 1:1044 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1006
Practice Address - Country:US
Practice Address - Phone:330-746-7211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000155281OtherANTHEM
OH6461190OtherAETNA
OH000000067490OtherUNISON
OH000000156988OtherANTHEM
OH000000156990OtherANTHEM
OH1007751650002OtherMAPA
OH3500220OtherUHC
OH366075600OtherUS DEPT OF LABOR
OH5000068OtherUHC
OH34505560OtherSUMMACARE
OH132195000OtherMAGELLAN
OH1513787OtherGATEWAY-OH
OH7645338Medicaid
OH34505560OtherSUMMACARE
OH1007751650002OtherMAPA
OH=========048OtherMEDICAL MUTUAL
OH=========12OtherBUREAU OF WORKERS COMP
OH36-T064Medicare PIN
OH=========002OtherCARESOURCE