Provider Demographics
NPI:1972623601
Name:CITY OF YOUNGSTOWN YOUNGSTOWN CITY HEALTH DISTRICT
Entity type:Organization
Organization Name:CITY OF YOUNGSTOWN YOUNGSTOWN CITY HEALTH DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:SANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-742-8221
Mailing Address - Street 1:9 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44503-1431
Mailing Address - Country:US
Mailing Address - Phone:330-743-3333
Mailing Address - Fax:330-743-3960
Practice Address - Street 1:9 W FRONT ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44503-1431
Practice Address - Country:US
Practice Address - Phone:330-743-3333
Practice Address - Fax:330-743-3960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare