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: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1914 MERCER AVE
FARRELL PA
16121-2505
US

IV. Provider business mailing address

1914 MERCER AVE
FARRELL PA
16121-2505
US

V. Phone/Fax

Practice location:
  • Phone: 724-981-9815
  • Fax: 724-981-9815
Mailing address:
  • Phone: 724-400-6081
  • Fax: 724-981-9815

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: DR. MR CRAGO
Title or Position: CLINIC DIRECTOR
Credential: CLINIC DIRECTOR
Phone: 330-743-7853