Mahoning County Chemical Dependency Programs, Inc. – Primary Care Clinic/Center, NPI 1225455082
Primary Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Mahoning County Chemical Dependency Programs, Inc.
2894 Center Rd
Poland, OH 445142154
Phone: (330) 726-6339
Fax: (330) 726-5799
Type: Location
8255 South Ave
Boardman, OH 445126483
Phone: (330) 797-0070
Fax: (330) 797-9146
Type: Location
320 High St NE
Warren, OH 444811222
Phone: (330) 797-0070
Fax: (330) 797-9146
Type: Location
1960 E County Line Rd
Mineral Ridge, OH 444409451
Phone: (330) 797-0070
Type: Location
550 W Chalmers Ave
Youngstown, OH 445111576
Phone: (330) 797-0070
Fax: (330) 797-9146
Type: Location
8255 SOUTH AVE
BOARDMAN, OH 445126483
Phone: (330) 797-0070
Fax: (330) 797-9146
Type: Mailing
527 N MERIDIAN RD
YOUNGSTOWN, OH 445091227
Phone: (330) 797-0070
Fax: (330) 797-9146
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040727000602 | O | Clinic/Group Practice | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44514)
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Reviews
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