County of Mahoning

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF MAHONING

Doing business as

Mahoning County Health Department

Practice address

50 Westchester Dr
Youngstown, OH 44515-3991

Phone

(330) 270-2855

Fax

(330) 270-9194

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edward Janik

Title

Director of Finance/HR

Phone

(330) 270-2855

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mahoning County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

County of Mahoning2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mahoning County Board of Mental Retardation and Developmental Disabili

  • Developmentally Disabled Services Day Training Agency
  • Austintown, OH
  • NPI 1518084789
  NPD tax ID

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1235194937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WESTCHESTER DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445153991",
            "telephone_number": "330-270-2855",
            "fax_number": "330-270-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WESTCHESTER DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445153991",
            "telephone_number": "330-270-2855",
            "fax_number": "330-270-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MAHONING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "JANIK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE/HR",
        "authorized_official_telephone_number": "330-270-2855",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "600000894",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0980167",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "0347039",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mahoning County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie L Cottle
• Alysia Cotton
• Neshayla Sheneque Council, LPN
• Yolanda Council
• Counseling on Purpose, LLC
• County of Trumbull Liberty Township Trustees
• Charity A Cousin, CPRS
• Kevin Michael Couthen
• Justin Covan, CDCA
• Jamie Cowger

• State or Local Public Health Clinic/Center in Youngstown, OH
• Providers in Youngstown, OH by specialty
• State or Local Public Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.