NPIMap

Organization Active NPI

Mercy Health Youngstown LLC

  • Clinical Medical Laboratory
  • Youngstown, OH
National Provider Identifier
1831600295
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MERCY HEALTH YOUNGSTOWN LLC
Practice address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone
(513) 952-5065
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Kimberly M Ralston
Title
VP Reimbursement
Phone
(419) 996-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X OH Primary

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504-1006

Mailing address

PO Box 639919
Cincinnati, OH 45263-9919

Other names 1

  • MERCY HEALTH YOUNGSTOWN LABORATORY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other BLUEMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050824001122 OH Part A Provider - Hospital 7517860489 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Youngstown, OH; Warren, OH; Poland, OH; Austintown, OH; Boardman, OH

Hospital certification: CCN 360064

Legal name
MERCY HEALTH YOUNGSTOWN, LLC
Doing business as
MH ST ELIZABETH YOUNGSTOWN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 25, 2008
Beds
628
Ownership / control type
Church
Organization structure
LLCNon-profit
Incorporated
Mar 3, 1926 in OH
Enrollment address
1044 Belmont Ave
Youngstown, OH 44504-1006
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation, Psychiatric unit

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
MH St Elizabeth Youngstown HospitalCCN 360064
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Youngstown LLC28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Member organizations 24

Organizations listed as members of this organization in the National Provider Directory.

View all 24

Locations

1044 Belmont Ave
Fl 1
Youngstown, OH 44504

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Germaine G Bennett Individual Corporate DirectorBoard Member Jan 1, 2019
Martha Bushey Individual Corporate DirectorBoard Member Jan 1, 2025
Carla Baldwin Individual Corporate DirectorBoard Member Jan 1, 2026
Michelle Crawford Individual Corporate OfficerCfo Youngstown Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2021
W-2 Managing EmployeeCfo Youngstown Jan 1, 2021
Mildred Ely Individual Corporate DirectorBoard Member Feb 1, 2018
Joseph L Mosca Individual Corporate DirectorBoard Member Jan 1, 2020
Bon Secours Mercy Health Inc Organization, Blue Ash, OH Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
John Starcher Individual Operational/Managerial ControlCho Admin Feb 1, 2016
Lewis Macklin Individual Corporate DirectorBoard Member Feb 1, 2018
John Luellen Individual Corporate DirectorBoard Member Nov 14, 2018
Juan Santiago Individual Corporate DirectorBoard Member Jan 1, 2022
Rachel Hrbolich Individual Corporate DirectorBoard Member Jan 1, 2024
Jessica Simon Individual Corporate DirectorBoard Member Jan 1, 2023
Erin Bishop Individual Corporate DirectorBoard Member Jan 1, 2024
Edward Novosel Individual Corporate DirectorBoard Member Jan 1, 2020
Kimberly M Ralston Individual W-2 Managing EmployeeVP Reimbursement Oct 7, 2017

Practitioners & affiliated clinicians

Affiliated clinicians 1,012

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,012

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1831600295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639919",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "513-952-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH YOUNGSTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "BLUEMARK",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MERCY HEALTH YOUNGSTOWN LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MERCY HEALTH YOUNGSTOWN LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.