Organization Active NPI

Ursuline Center

  • Medical Specialty Clinic/Center
  • Youngstown, OH
National Provider Identifier
1710318282
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
URSULINE CENTER
Practice address
345 Oak Hill Ave Ste 200
Youngstown, OH 44502
Phone
(330) 743-7853
Fax
(330) 743-7481
NPI assigned
Dec 9, 2013
Organization subpart
Yes
Parent organization
URSULINE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Brigid Kennedy
Title
Co-Executive Director
Phone
(330) 792-7636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

345 Oak Hill Ave Ste 200
Youngstown, OH 44502

Mailing address

4250 Shields Rd
Canfield, OH 44406
Phone (330) 792-7636

Other names 1

  • Comprehensive Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140512000709 OH Part B Supplier - Clinic/Group Practice 5991938219 Receives reassigned benefits from 4 practitioners
Practice locations: Youngstown, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1079663Comprehensive Care Center345 Oak Hill, Youngstown, OH 44502Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory
Part of
Ursuline Center

Locations

4250 Shields Rd
Canfield, OH 44406
Phone (330) 792-7636

345 Oak Hill Ave
Ste 201
Youngstown, OH 44502
Phone (330) 743-7853

345 Oak Hill Ave
Ste 400
Youngstown, OH 44502

345 Oak Hill Ave
Fl 2
Youngstown, OH 44502

345 Oak Hill Ave
Ste 200
Youngstown, OH 44502
Phone 3307433333216

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1710318282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 SHIELDS RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "44406",
            "telephone_number": "330-792-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 OAK HILL AVE STE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44502",
            "telephone_number": "330-743-7853",
            "fax_number": "330-743-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URSULINE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URSULINE CENTER",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "BRIGID",
        "authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-792-7636"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.