| Catholic Charities Southwestern Ohio | |
|
1910 Fairgrove Ave Suite B Hamilton OH 45011-1930 | |
| (513) 863-6129 | |
| (513) 863-0524 |
| Full Name | Catholic Charities Southwestern Ohio |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 1910 Fairgrove Ave, Hamilton, Ohio |
| Authorized Official Name and Position | Ted Bergh (CEO) |
| Authorized Official Contact | 5132417745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Southwestern Ohio 1910 Fairgrove Ave Suite B Hamilton OH 45011-1930 Ph: (513) 863-6129 | Catholic Charities Southwestern Ohio 1910 Fairgrove Ave Suite B Hamilton OH 45011-1930 Ph: (513) 863-6129 |
| NPI Number | 1659304129 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 07/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659304129 | NPI | - | NPPES |
| 10058 | Medicaid | OH | |
| 2919677 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
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