1487787727 NPI number — WESTERN RESERVE CARE SYSTEM

Table of content: (NPI 1487787727)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487787727 NPI number — WESTERN RESERVE CARE SYSTEM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WESTERN RESERVE CARE SYSTEM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487787727
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 GYPSY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YOUNGSTOWN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44504-1315
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-884-5858
Provider Business Mailing Address Fax Number:
330-884-5735

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3622 BELMONT AVE
Provider Second Line Business Practice Location Address:
SUITE 21
Provider Business Practice Location Address City Name:
YOUNGSTOWN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44505-1450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-759-3485
Provider Business Practice Location Address Fax Number:
330-759-3256
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
LOWELL
Authorized Official Middle Name:
W
Authorized Official Title or Position:
INTERIM EXECUTIVE VP AND COO
Authorized Official Telephone Number:
330-884-5858

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9736361 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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