Healthcare Provider Details

I. General information

NPI: 1407027378
Provider Name (Legal Business Name): YOUNGSTOWN CITY HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2008
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 OAK HILL AVENUE
YOUNGSTOWN OH
44502
US

IV. Provider business mailing address

345 OAK HILL AVENUE
YOUNGSTOWN OH
44502
US

V. Phone/Fax

Practice location:
  • Phone: 330-743-7853
  • Fax:
Mailing address:
  • Phone: 330-743-7853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. CHERYL A. STREB-BARAN
Title or Position: CLINIC DIRECTOR
Credential: CLINIC DIRECTOR
Phone: 330-743-7853