Healthcare Provider Details

I. General information

NPI: 1144027475
Provider Name (Legal Business Name): GO HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 E MIDLOTHIAN BLVD
YOUNGSTOWN OH
44507-2021
US

IV. Provider business mailing address

77 E MIDLOTHIAN BLVD
YOUNGSTOWN OH
44507-2021
US

V. Phone/Fax

Practice location:
  • Phone: 330-621-0047
  • Fax: 330-639-0920
Mailing address:
  • Phone: 330-621-0047
  • Fax: 330-639-0920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERICA WILSON-DOMER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 614-256-2464