Western Reserve Care System

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

WESTERN RESERVE CARE SYSTEM

Practice address

3622 Belmont Ave
Suite 21
Youngstown, OH 44505-1450

Phone

(330) 759-3485

Fax

(330) 759-3256

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Lowell W Johnson, FACHE

Title

Interim Executive VP and Coo

Phone

(330) 884-5858

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487787727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-884-5858",
            "fax_number": "330-884-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 BELMONT AVE",
            "address_2": "SUITE 21",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051450",
            "telephone_number": "330-759-3485",
            "fax_number": "330-759-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "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",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9736361",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melvin West
• Octavia West
• Regina D West
• Western Reserve Care System
• Western Reserve Care System
• Western Reserve Care System
• Western Reserve Health Education
• Ray Westhead
• Elizabeth A Weston, DPT
• Westrn Kat Services LLC

• General Acute Care Hospital in Youngstown, OH
• Providers in Youngstown, OH by specialty
• General Acute Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.