NPIMap

Organization Active NPI

Youngstown Ohio Hospital Company LLC

Doing business as Northside Medical Center

  • Psychiatric Hospital Unit
  • Youngstown, OH
National Provider Identifier
1871809848
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
YOUNGSTOWN OHIO HOSPITAL COMPANY LLC
Doing business as
Northside Medical Center
Practice address
500 Gypsy LN
Youngstown, OH 44504-1315
Phone
(330) 884-5879
Fax
(330) 884-5735
NPI assigned
Aug 27, 2010
Last updated
Aug 27, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
YOUNGSTOWN OHIO HOSPITAL COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Laurie Holtsford
Title
Auth Official/Dir Business Office
Phone
(615) 465-7488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

500 Gypsy LN
Youngstown, OH 44504-1315

Mailing address

16964 Collections Center Dr
Chicago, IL 60693-0001
Phone (330) 884-5879

Other names 1

  • Northside Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Valleycare Health System4 organizations share this tax ID, including this one
Part of
Valleycare Health System

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1871809848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16964 COLLECTIONS CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930001",
            "telephone_number": "330-884-5879",
            "fax_number": "330-884-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-884-5879",
            "fax_number": "330-884-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSTOWN OHIO HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNGSTOWN OHIO HOSPITAL COMPANY LLC",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTH OFFICIAL/DIR BUSINESS OFFICE",
        "authorized_official_telephone_number": "615-465-7488"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Medical 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 Aug 27, 2010; 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.