MERCY HEALTH ST ELIZABETH BOARDMAN HOSPITAL – General Acute Care Hospital, NPI 1790868982
General Acute Care Hospital
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MERCY HEALTH ST ELIZABETH BOARDMAN HOSPITAL
PO BOX 636483
CINCINNATI, OH 452636483
Phone: (330) 729-2929
Fax: (330) 729-1563
Type: Mailing
PO BOX 636469
CINCINNATI, OH 452636469
Phone: (330) 729-2929
Fax: (330) 729-1563
Type: Mailing
Market Street, Idlewood Heights, Uptown, Youngstown, Mahoning County, Ohio, 44408, United States
YOUNGSTOWN, OH 445126777
Phone: (330) 729-2929
Fax: (330) 729-1563
Type: Location
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-06-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (128 days ago).
Enrollment records
1
Earliest due date
2026-01-31
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 |
|---|---|---|---|---|
| O20070620000439 | O | Hospital | OH | 2026-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 45263)
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