St. Elizabeth Health Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

57.021131 Issued in OH

Legal business name

ST. ELIZABETH HEALTH CENTER

Practice address

1053 Belmont Ave
Youngstown, OH 44504-1007

Phone

(330) 480-3605

NPI assigned

Aug 13, 2012

Last updated

Aug 13, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rudolph Kraft, M.D.

Title

Program Director

Phone

(330) 480-3631

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1023365749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041007",
            "telephone_number": "330-480-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041007",
            "telephone_number": "330-480-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ELIZABETH HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "330-480-3631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "57.021131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Elizabeth Health Center
• St Elizabeth Southwoods Imaging LLC (Southwoods Imaging Center)
• Sara St. Clair, LPN
• St. Elizabeth Cardiac Cath Lab, LLC (The Heart Lab at St. Elizabeth's)
• St. Elizabeth Cardiac Cath Lab, LLC (The Heart Lab at St. Elizabeth's)
• Tameika Cincere St. Thomas, RN
• Brenda Marie Staffrey, LPN
• Mary Staffrey
• Crystal N Stahl, CDCA-PRE, QMHS
• Charlotte Louise Stamp

• Primary Care Clinic/Center in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.