Active NPI
Mahoning Valley Hospital, Inc.
Doing business as Mahoning Valley Hospital
- Long Term Care Hospital
- Boardman, OH
National Provider Identifier
1164479754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- NOT APPLICABLE
- Legal business name
- MAHONING VALLEY HOSPITAL, INC.
- Doing business as
- Mahoning Valley Hospital
- Practice address
- 8049 South Ave
Boardman, OH 44512-6154 - Phone
- (330) 726-5000
- Fax
- (330) 726-5053
- NPI assigned
- May 28, 2006
- Last updated
- Dec 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael S Senchak
- Title
- President and Ceo
- Phone
- (330) 675-5055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | NOT APPLICABLE | OH | Primary |
Addresses
Primary practice location
8049 South Ave
Boardman, OH 44512-6154
Mailing address
8049 South Ave
Boardman, OH 44512-6154
Phone (330) 726-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2142309 | Medicaid | OH |
Other names 1
- Mahoning Valley Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229558400000",
"number": "1164479754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8049 SOUTH AVE",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126154",
"telephone_number": "330-726-5000",
"fax_number": "330-726-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8049 SOUTH AVE",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126154",
"telephone_number": "330-726-5000",
"fax_number": "330-726-5053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHONING VALLEY HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2008-12-18",
"status": "A",
"authorized_official_last_name": "SENCHAK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "330-675-5055",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "OH",
"license": "NOT APPLICABLE",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2142309",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mahoning Valley Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.