Trumbull Mahoning Medical Group, Inc.
LBN: Trumbull Mahoning Medical Group, Inc.
Trumbull Mahoning Medical Group, Inc. is an health care organization with primary practice located at 2600 Elm Rd Ne , Cortland OH 44410-9393. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Trumbull Mahoning Medical Group, Inc. can be contacted via phone (330) 372-8800, or through Rostom, Mourad via phone (330) 372-8820.
Contact Information
Primary practice address
2600 Elm Rd Ne
Cortland OH 44410-9393
Phone: (330) 372-8800
Fax: (330) 372-8999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1285642769 |
|---|---|
| LBN Legal business name | Trumbull Mahoning Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Rostom, Mourad Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jan 17th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285642769 | NPPES |
| Ohio | MEDICAID | 0468677 | |
| Ohio | Other | 1426141 | |
| Ohio | Other | 000000243183 |
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