Provider Demographics
NPI:1609174531
Name:WRCS/YOUNGSTOWN OHIO HOSPITAL CO
Entity Type:Organization
Organization Name:WRCS/YOUNGSTOWN OHIO HOSPITAL CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-726-3357
Mailing Address - Street 1:461 GYPSY LN
Mailing Address - Street 2:APT # 19
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1370
Mailing Address - Country:US
Mailing Address - Phone:408-431-4708
Mailing Address - Fax:
Practice Address - Street 1:461 GYPSY LN
Practice Address - Street 2:APT # 19
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1370
Practice Address - Country:US
Practice Address - Phone:408-431-4708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital