Provider Demographics
NPI:1013120716
Name:ASSOCIATES IN WOMEN'S HEALTH OF THE MAHONING VALLEY, INC
Entity Type:Organization
Organization Name:ASSOCIATES IN WOMEN'S HEALTH OF THE MAHONING VALLEY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-746-7007
Mailing Address - Street 1:1350 5TH AVE
Mailing Address - Street 2:SUITE 324
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1728
Mailing Address - Country:US
Mailing Address - Phone:330-746-7007
Mailing Address - Fax:330-746-8818
Practice Address - Street 1:1350 5TH AVE
Practice Address - Street 2:SUITE 324
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1728
Practice Address - Country:US
Practice Address - Phone:330-746-7007
Practice Address - Fax:330-746-8818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH35-07-3668-H174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2253609Medicaid
OHF50304Medicare UPIN
OHHI7245981Medicare ID - Type Unspecified