Organization · Type 2 NPI

Good Shepherd Community Doctors Office

Health Service Clinic/Center · Youngstown, OH

NPI number 1912138157 Active

Practice location

30 W Front St
Youngstown, OH 44503-1417

Fax (330) 746-2855

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center 261QC1500XRN245640 (OH)
Health Service Clinic/Center Primary 261QH0100XRN245640 (OH)

Health Service Clinic/Center: Definition to come...

About NPI 1912138157

Good Shepherd Community Doctors Office's National Provider Identifier is 1912138157, issued on Aug 5, 2009. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Youngstown, OH. The record was last updated on Aug 5, 2009.