| Maple Knoll Outreach Services | |
|
11275 Springfield Pike Cincinnati OH 45246-4113 | |
| (513) 984-1234 | |
| (513) 686-1040 |
| Full Name | Maple Knoll Outreach Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11275 Springfield Pike, Cincinnati, Ohio |
| Authorized Official Name and Position | Joshua L Howard (DIRECTOR) |
| Authorized Official Contact | 5136861004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Knoll Outreach Services 11275 Springfield Pike Cincinnati OH 45246-4113 Ph: (513) 984-1234 | Maple Knoll Outreach Services 11275 Springfield Pike Cincinnati OH 45246-4113 Ph: (513) 984-1234 |
| NPI Number | 1205234572 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 09/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205234572 | NPI | - | NPPES |
| 0790550 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1623 (Ohio) | Primary |
| 343900000X | Non-emergency Medical Transport (van) | 1623 (Ohio) | Secondary |
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